| Dr Brett Colin Ferguson, MD | |
|
64-1032 Mamalahoa Hwy, Suite 204, Kamuela, HI 96743-8441 | |
| (808) 887-6543 | |
| (808) 887-6294 |
| Full Name | Dr Brett Colin Ferguson |
|---|---|
| Gender | Male |
| Speciality | Pathology - Forensic Pathology |
| Location | 64-1032 Mamalahoa Hwy, Kamuela, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902054885 | NPI | - | NPPES |
| 2321081 | Medicaid | LA | |
| 767543 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZF0201X | Pathology - Forensic Pathology | MD-16732 (Hawaii) | Primary |
| 208000000X | Pediatrics | 16732 (Hawaii) | Secondary |
| 208000000X | Pediatrics | 205867 (Louisiana) | Secondary |
| Entity Name | Kapiolani Medical Specialists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124071014 PECOS PAC ID: 0648183988 Enrollment ID: O20031111000895 |
| Entity Name | Kapiolani Medical Center For Women & Children |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548215692 PECOS PAC ID: 9830097914 Enrollment ID: O20031229000149 |
| Entity Name | Queens North Hawaii Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528049814 PECOS PAC ID: 0143116293 Enrollment ID: O20040225000562 |
| Entity Name | Paniolo Pediatric And Family Medicine Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053812990 PECOS PAC ID: 2264796317 Enrollment ID: O20180426000922 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brett Colin Ferguson, MD Po Box 6149, Kamuela, HI 96743-6149 Ph: (808) 887-6543 | Dr Brett Colin Ferguson, MD 64-1032 Mamalahoa Hwy, Suite 204, Kamuela, HI 96743-8441 Ph: (808) 887-6543 |