{"npi":"1154318095","type":"NPI-1","status":"active","name":{"display":"Jeff Ethridge M.D.","other":[],"first":"JEFF","last":"ETHRIDGE","middle":"D","credential":"M.D."},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"TX","license":"L6877"},{"code":"207QH0002X","description":"Hospice and Palliative Medicine (Family Medicine) Physician","primary":false,"state":"TX","license":"L6877"},{"code":"208M00000X","description":"Hospitalist","primary":false,"state":"TX","license":"L6877"}]},"addresses":[{"purpose":"LOCATION","street_1":"805 KELLY CREEK RD","city":"BULVERDE","state":"TX","postal_code":"781633035","country_code":"US","phone":"8309801805","fax":"8304385662"},{"purpose":"MAILING","street_1":"805 KELLY CREEK RD","city":"BULVERDE","state":"TX","postal_code":"781633035","country_code":"US","phone":"8309801805","fax":"8304385662"}],"license":{"state":"TX","number":"L6877"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"167684801","state":"TX","issuer":null},{"type_code":"05","label":"Medicaid","value":"167686808","state":"TX","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040614001156","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"TX","pac_id":"2961486485"}]},"enumeration_date":"2005-10-05","last_updated":"2020-08-21","_meta":{"source":"NPPES","snapshot_date":"2020-08-21","doc_url":"https://findmynpi.com/api"}}