Individual
DR. T BRUCE FERGUSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 HEART DR, EAST CAROLINA HEART INSTITUTE AT ECU, GREENVILLE, NC 27834-8944
(252) 744-4400
(252) 744-3987
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
31280
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
31280
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14119
BCBS NC
NC
05
—
5903592
—
NC
Enumeration date
05/24/2006
Last updated
05/04/2012
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