Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eric Fergen, PA

Individual provider Physician Assistant · NPI 1245622646

Eric Fergen, PA is a Physician Assistant in Bullhead City, Arizona. Qualified in 2014, 12 years ago. Practices with Tri-State Medical Specialists LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Arizona and California.

Years since qualifying
12
Licensed in
AZ, CA
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1355 Ramar Rd Ste 11
Bullhead City, AZ 86442-7100
Phone: (928) 704-9202
Fax: (928) 704-9207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7075 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 57093 (CA)

Record details

NPI number1245622646
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 23, 2015
Last updated in NPPESJune 8, 2022
Certification dateJune 8, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Tri-State Medical Specialists Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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