1. Home
  2. Directory
  3. Wisconsin
  4. De Pere
  5. General Practice
  6. NPI Profile

DAVID J FERGUSON MD
NPI 1104874122
General Practice in De Pere, WI

Active since May 04, 2006PECOS Enrolled
435 N BROADWAY STE B, DE PERE, WI 54115(855) 545-6794(262) 928-4699 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David J Ferguson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID J FERGUSON MD (NPI 1104874122) is an individual general practice provider in De Pere, Wisconsin, licensed in Wisconsin (35342-20) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104874122
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDAVID J FERGUSONCredential: MD
Location Address435 N BROADWAY STE BDe Pere, WI 54115-2516
Mailing Address435 N Broadway Ste BDe Pere, WI 54115-2516 · (855) 545-6794
Phone(855) 545-6794
Fax(262) 928-4699
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateOctober 13, 2020
NPPES CertifiedOctober 13, 2020
✔ NPI 1104874122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in WI · 35342-20
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 35342 (WI)
435 N BROADWAY STE B, De Pere, WI 54115
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David J Ferguson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Ferguson's NPI number?

The NPI number for David Ferguson is 1104874122. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is David Ferguson located?

David Ferguson practices at 435 N Broadway Ste B, De Pere, WI 54115. The listed phone number is (855) 545-6794.

What is David Ferguson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is David Ferguson enrolled in Medicare?

Yes. David Ferguson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Ferguson was last updated on October 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.