David J Ferguson, MD
David J Ferguson is a General Practice Physician provider (General Practice) practicing in De Pere, WI, registered in the NPPES registry with NPI 1104874122 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104874122 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | David J Ferguson |
| Credential | MD |
| Sex | Male |
| Practice address | 435 N BROADWAY STE B, De Pere, WI, 54115 |
| Phone | 8555456794 |
| Fax | 2629284699 |
| Enumeration date | 2006-05-04 |
| Last updated in NPPES | 2020-10-13 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | Secondary | 35342 | WI |
| 208D00000X | General Practice Physician | Primary | 35342-20 | WI |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Copy-ready billing details
Provider: David Ferguson, MD NPI: 1104874122 Taxonomy: 208D00000X (General Practice Physician) Address: 435 N BROADWAY STE B, De Pere, WI, 54115
Verify this record
Cross-check NPI 1104874122 against the authoritative CMS record: view David J Ferguson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
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Source: CMS NPPES (public data). Snapshot 2026-07-09. Provider record last updated 2020-10-13.