Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bulverde Family Medicine PA

Organization Family Medicine Physician · NPI 1265801492

Bulverde Family Medicine PA is a Family Medicine Physician 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
Show map & directions

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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