Ferguson, Bradley

Ferguson, Bradley is an individual health care provider with primary practice located at N84W16889 Menomonee Ave , Menomonee Falls WI 53051-2810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Ferguson, Bradley can be contacted via phone (262) 251-7500.

Contact Information

Primary practice address
N84W16889 Menomonee Ave Menomonee Falls WI 53051-2810
Fax: (262) 251-7128
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 54292 Wisconsin

Profile Details

NPI number 1194862474
LBN Legal business name Ferguson, Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jul 16th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194862474 NPPES
Wisconsin Other P00880737 RR MEDICARE
Wisconsin MEDICAID 100009368 RR MEDICARE

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