Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Bulverde Family Medicine PA

Organization Family Medicine Physician · NPI 1265801492

Bulverde Family Medicine PA provides Family Medicine Physician services in Bulverde, Texas. Licensed in Texas. Registered with an NPI since 2015.

Licensed in
TX
In the registry since
2015
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

805 Kelly Creek Rd
Bulverde, TX 78163-3035
Phone: (830) 980-1805
Fax: (830) 438-5662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X
Family Medicine Physician Taxonomy 207Q00000X · Licence L6877 (TX)
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1265801492
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeff Ethridge — Physician Owner · (830) 980-1805
NPI enumeratedSeptember 17, 2015
Last updated in NPPESJune 8, 2021
Certification dateJune 8, 2021
Mailing address805 Kelly Creek Rd, Bulverde, TX 78163-3035

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