Individual provider Active NPI

Bridget Ann Ferguson, DVM

  • Veterinarian
  • Maple Valley, WA
National Provider Identifier
1235497454
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
VT00008894 Issued in WA
Practice address
27539 Maple Valley Black Diamond Rd SE
Suite D102
Maple Valley, WA 98038-5155
Phone
(425) 432-2222
Fax
(425) 947-9832
NPI assigned
Apr 25, 2012
Last updated
Mar 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X VT00008894 WA Primary

Addresses

Primary practice location

27539 Maple Valley Black Diamond Rd SE
Suite D102
Maple Valley, WA 98038-5155

Mailing address

27539 Maple Valley Black Diamond Rd SE
Suite D102
Maple Valley, WA 98038-5155
Phone (425) 432-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
VT00008894WAMDVeterinarian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1235497454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27539 MAPLE VALLEY BLACK DIAMOND RD SE",
            "address_2": "SUITE D102",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385155",
            "telephone_number": "425-432-2222",
            "fax_number": "425-947-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27539 MAPLE VALLEY BLACK DIAMOND RD SE",
            "address_2": "SUITE D102",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385155",
            "telephone_number": "425-432-2222",
            "fax_number": "425-947-9832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "BRIDGET",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "WA",
            "license": "VT00008894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.