IndividualActive
Stephen Etheredge, M.D.
NPI 1629212972 · Sports Medicine (Family Medicine) Physician · Baton Rouge, LA
Provider details
- NPI number
- 1629212972
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- TRN 13458 (FL)
Practice location
8080 Bluebonnet Blvd Ste 1000
Baton Rouge, LA 70810-7827
Phone: (225) 924-2424
Fax: (225) 408-7980
Mailing address
8080 Bluebonnet Blvd Ste 1000
Baton Rouge, LA 70810-7827
Registry dates
- Enumerated
- 2009-04-29
- Last updated
- 2022-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.