MEDICARE: DR. ROBERT FERGUSON DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	08001322	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770510646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT FERGUSON DC

Provider Business Mailing Address
First Line	:	2250 W 86TH ST
Second Line	:	STE 100
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-1965
Country	:	US
Telephone Number	:	317-876-7826
Fax Number	:	317-893-7157

Provider Business Practice Location Address
First Line	:	2250 W 86TH ST
Second Line	:	STE 100
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-1965
Country	:	US
Telephone Number	:	317-876-7826
Fax Number	:	317-893-7157

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	02/22/2026

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