Active NPIIndividual provider

Bernard J Ferguson IV, MD

Family Medicine in New London, Connecticut

NPI Number1558335604
Practice location
365 Montauk Ave, New London, CT 06320-4700
Fax
—
Last updated
July 7, 2020

Bernard J. Ferguson is a Family Medicine based in New London, CT. Bernard J. Ferguson practices in New London, CT and has the professional credentials of MD. The NPI Number for Bernard J. Ferguson is 1558335604 and holds a License No. 026962 (CT). The current practice location address for Bernard J. Ferguson is 365 Montauk Ave, New London, CT 06320-4700 and can be reached out via phone at 860-442-0711.

Provider Profile Details

NPI Number
1558335604
Provider Name
Bernard J. Ferguson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
365 Montauk Ave, New London, CT 06320-4700
Phone Number
860-442-0711
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
February 15, 2006
Last Update Date
July 7, 2020
Certification Date
July 7, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
365 Montauk Ave
New London, CT 06320-4700
Zip
06320-4700
Phone Number
860-442-0711
New London, CT 06320Get directions →

Provider Business Mailing Address Details

Address
81 Pearl St
Groton, CT 06340-5762
City
Groton
State
CT
Zip
06340-5762
Phone Number
860-536-3027

License Information

License Number (1)
026962
License State (1)
CT
Taxonomy (1)
Family Medicine · 207Q00000X · Primary
License Number (2)
026962
License State (2)
CT
Taxonomy (2)
Emergency Medicine · 207P00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bernard J Ferguson IV, MD?

The NPI number of Bernard J Ferguson IV, MD is 1558335604. It was assigned on February 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Bernard J Ferguson IV, MD?

Bernard J Ferguson IV, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number 026962.

Where does Bernard J Ferguson IV, MD practice?

The practice location is 365 Montauk Ave, New London, CT 06320-4700. The office can be reached at 860-442-0711 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558335604 directly on the NPPES registry website.

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