Individual provider Active NPI

Bruce Fergen, FNP

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1770569766
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP1912 Issued in AZ
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
HonorhealthGroup PAC ID 1456258607, 66 clinicians

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 Hospital, Phoenix, AZ, CCN 030014
  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092
  • Honorhealth Sonoran Crossing Medical Center Hospital, Phoenix, AZ, CCN 030146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP1912AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Current Accepting new patients
Emcare - PNX Emergency Physicians LLC CurrentSince Dec 16, 2013 Accepting new patients
303 Emergency Physicians PLLC CurrentSince Dec 9, 2013 Accepting new patients
Honorhealth CurrentSince Mar 22, 2025 Accepting new patients
Honorhealth CurrentSince Mar 22, 2025 Accepting new patients
Loop 101 Emergency Physicians LLC CurrentSince Jul 1, 2006 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.

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

Verify at the official NPI Registry.