Active NPI
Bruce Fergen, FNP
- Family Nurse Practitioner
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP1912
- Practice address
- 18700 N 64TH Dr
Ste 201
Glendale, AZ 85308-7109 - Phone
- (623) 561-9113
- Fax
- (623) 561-6148
- NPI assigned
- Dec 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP1912 | AZ | Primary |
Addresses
Primary practice location
18700 N 64TH Dr
Ste 201
Glendale, AZ 85308-7109
Mailing address
11020 W Hayward Ave
Glendale, AZ 85307-1621
Phone (602) 872-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050426000573 | AZ | Practitioner - Nurse Practitioner | 2668411067 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16575 W Waddell Rd
Surprise, AZ 85388-9623
Phone (623) 300-9110
Hospital & facility affiliations
- Honor Health John C. Lincoln Medical Center
- Honorhealth Deer Valley Medical Center
- Honorhealth Sonoran Crossing Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP1912 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth | Current | Accepting new patients | |
| Emcare - PNX Emergency Physicians LLC | Current | Accepting new patients | |
| 303 Emergency Physicians PLLC | Current | Accepting new patients | |
| Honorhealth | Current | Accepting new patients | |
| Honorhealth | Current | Accepting new patients | |
| Loop 101 Emergency Physicians LLC | Current | Accepting new patients | |
| Ultimate Urgent Care Centers | Past | Accepting new patients |
Locations
250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721
33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000
19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720
33423 N 32nd Ave
Phoenix, AZ 85085
Phone (623) 474-1600
7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000
16575 W Waddell Rd
Surprise, AZ 85388
Phone (623) 300-9110
1500 S Mill Ave
Tempe, AZ 85281
Phone (480) 784-5500
2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100
13737 Noel Rd
Ste 1600
Dallas, TX 75240
Phone (214) 712-2489
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 and National Provider Directory roles.
-
- Prosthetic/Orthotic Supplier
- Peoria, AZ
- NPI 1386456762
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1811951429
-
- Urgent Care Clinic/Center
- Peoria, AZ
- NPI 1356547798
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1770569766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11020 W HAYWARD AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853071621",
"telephone_number": "602-872-8888",
"fax_number": "623-561-6148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18700 N 64TH DR",
"address_2": "STE 201",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853087109",
"telephone_number": "623-561-9113",
"fax_number": "623-561-6148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGEN",
"first_name": "BRUCE",
"name_prefix": "Mr.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP1912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.