John Bruce Etheridge, MD
Pediatrics Physician · Port Royal, SC
John Bruce Etheridge, MD is a pediatrics physician with a practice address in Port Royal, South Carolina, and NPI 1861586414, issued on Oct 3, 2006. Check the license (South Carolina 19936, as entered in NPPES) on the South Carolina Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- John Bruce Etheridge
- Credential
- MD
- Primary taxonomy
- Pediatrics Physician 208000000X
- License number
- 19936 SC
Self-reported in NPPES; status is on the state search - Practice location
- 1320 Ribaut RD, Port Royal, SC 29935
- Phone
- (843) 986-0900
- Enumerated
- Oct 3, 2006
- Record last updated
- Jun 16, 2026
- Medicaid ID
- 199369 SC
- Entity
- Type 1 · individual
Also registered at 1320 Ribaut RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Abner Bagenstose, MDInternal Medicine Physician1104888403
- Rosalind Dawson, M.D.Internal Medicine Physician1487611752
- Faith Polkey, M.D., M.P.H.Pediatrics Physician1003885526
- Marlo Smith, MDPediatrics Physician1790757359
- Cameron Staiger, PHARMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist1437458569
- Chih-Ping Tucker, PHARMDPharmacist1689762056
Verify John Bruce Etheridge in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersSouth Carolina Board of Medical Examiners
Search for license 19936Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $57.04
2 payments; by number, the most common kind was food and beverage; the largest payer was NeurAxis, Inc. The 21,580 providers of this specialty with any payment received $842.05 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
4 pediatrics physician records list a practice address in Port Royal
They are 4 of the 97 NPPES records with a practice address in Port Royal, and 1,136 pediatrics physician records in South Carolina.
All 4 in Port Royal → All 1,136 in South Carolina → Every provider in Port Royal →
Other pediatrics physician records in South Carolina
- Anne Marie Abao-Beauchamp, M.D.Bluffton, SC1194118422
- Francis AcaylarBennettsville, SC1295849008
- Corinne Adkins, PA-CMyrtle Beach, SC1790905867
- Mavictoria Agustin, MDBishopville, SC1760555494
- Jill Aiken, MDMyrtle Beach, SC1376597666
- Mohammed Al Gadban, MDEasley, SC1043697022
- Laura Alberg, M.D.Columbia, SC1720075393
- Ruby Albert, MDColumbia, SC1295721009
- Bryna AldenColumbia, SC1427753813
- Theresa Alderson, MDLugoff, SC1568714053
Common questions
What is John Bruce Etheridge, MD's NPI number?
John Bruce Etheridge, MD's National Provider Identifier (NPI) is 1861586414, issued on Oct 3, 2006. An NPI identifies a provider in billing; it is not a license.
Where is John Bruce Etheridge, MD located?
The NPPES record lists a practice address at 1320 Ribaut RD, Port Royal, SC, 29935. Phone: (843) 986-0900. Providers update this record themselves, so call before visiting.
How can I verify John Bruce Etheridge, MD's license?
NPPES lists South Carolina license number 19936, as entered by the provider. Search the South Carolina Board of Medical Examiners at https://verify.llronline.com/LicLookup/Med/Med.aspx?div=22. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.