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Ethan Bridge

Physician Assistant β€’ Lafayette, CO

Active NPI 1982562724 Individual Practitioner Male Practitioner
Practice location in NPPES

1140 W South Boulder Rd Ste 202
Lafayette, CO 800268910

Call 3036041444 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1140 W South Boulder Rd Ste 202

Lafayette, CO 800268910

Telephone 3036041444
Organization at the Same NPPES Address or Phone
Boulder Valley Center For Dermatology Llc Facility NPI 1063018000

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2025

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2026

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Ethan Bridge has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Ethan Bridge as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Lafayette and Colorado

42 active clinicians are listed under Physician Assistant with a practice address in Lafayette, CO (3,767 in Colorado).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lafayette

11.9% of these 42 clinicians have the CMS telehealth indicator.

57.1% of these 42 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-16
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES CO PA.0009608

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Colorado Division of Professions and Occupations.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20260318000601

Enrollment State Jurisdiction

CO

PECOS Control ID

3375027451

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Ryan Bird

Physician Assistant - Medical

NPI 1003220815
Zoey Crane , PA-C

Physician Assistant

NPI 1902450034

Physician Assistant (Certified)

Trevor Fleischmann , PA-C

Physician Assistant - Medical

NPI 1295394641

Physician Assistant (Certified)

NPI 1922189141

Doctor of Medicine (M.D.)

NPI 1477058428

Doctor of Medicine (M.D.)

Brooke Weinberger

Physician Assistant

NPI 1346820495

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2026

Physician Assistant (license number reported to NPPES: CO PA.0009608)

πŸ“
Updated Practice Location February 23, 2026

Registered at 1140 W SOUTH BOULDER RD STE 202, LAFAYETTE, CO 800268910 (Tel: 3036041444)

πŸ“
Updated Business Mailing Address February 23, 2026

Registered at 1140 W SOUTH BOULDER RD STE 202, LAFAYETTE, CO 800268910

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2026

Physician Assistant

βœ…
NPI Profile Active January 12, 2026

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 12, 2026

Registered at 874 AMERICAN PACIFIC DR, HENDERSON, NV 890148800 (Tel: 7027778687)

πŸ“
Business Mailing Address (Initial Record) January 12, 2026

Registered at 874 AMERICAN PACIFIC DR, HENDERSON, NV 890148800

πŸ‘€
Provider Name / Credentials (Initial Record) January 12, 2026

Recorded as ETHAN BRIDGE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2026

Physician Assistant

🟒
Initial NPI Registration & Enumeration January 12, 2026

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1982562724
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2026
Last Update: March 16, 2026
Sole Proprietor: Yes

Other Physician Assistants in Lafayette

All Physician Assistants in Lafayette

Mailing Address

1140 W South Boulder Rd Ste 202

Lafayette, CO 800268910

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.