Individual provider Active NPI

Brandon I Ferguson, M.D.

  • Family Medicine Physician
  • Bayard, NM
National Provider Identifier
1457747917
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2018-0686 Issued in NM
Practice address
805 Tom Foy Blvd
Bayard, NM 88023
Phone
(575) 537-5068
Fax
(575) 537-5071
NPI assigned
Apr 11, 2015
Last updated
Aug 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X RS2015-0511 NM
Family Medicine Physician 207Q00000X MD2018-0686 NM Primary

Addresses

Primary practice location

805 Tom Foy Blvd
Bayard, NM 88023

Mailing address

530 De Moss St
Lordsburg, NM 88045-2618
Phone (575) 542-2369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180911002025 NM Practitioner - Family Practice 9032422811 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2018-0686NMMDFamily Medicine Physician
RS2015-0511NMMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Family Medicine Current Accepting new patients
Presbyterian Healthcare Services CurrentSince Dec 6, 2021 Accepting new patients
Hidalgo Medical Services CurrentSince Aug 21, 2018 Accepting new patients
Hidalgo Medical Services Current Accepting new patients
Hidalgo Medical Services CurrentSince Aug 21, 2018 Accepting new patients
Presbyterian Healthcare Services CurrentSince Dec 6, 2021 Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients

Locations

4588 Paradise Blvd NW
Albuquerque, NM 87114
Phone (505) 923-2070

805 Tom Foy Blvd
Bayard, NM 88023
Phone (505) 537-0200

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

530 De Moss St
Lordsburg, NM 88045
Phone (575) 542-2368

121 El Paso Rd
Ruidoso, NM 88345
Phone (505) 257-4061

211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381

1007 N Pope St
Silver City, NM 88061
Phone (575) 388-1511

Interoperability endpoints

  • Direct secure messaging: bferguson208616@direct.phs.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1428710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1457747917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 DE MOSS ST",
            "city": "LORDSBURG",
            "state": "NM",
            "postal_code": "880452618",
            "telephone_number": "575-542-2369",
            "fax_number": "575-542-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 TOM FOY BLVD",
            "city": "BAYARD",
            "state": "NM",
            "postal_code": "88023",
            "telephone_number": "575-537-5068",
            "fax_number": "575-537-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "BRANDON",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-11",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": "RS2015-0511",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2018-0686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayard, NM

Sources for this page

Verify at the official NPI Registry.