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BRIAN L. FONG MD INC NPI 1205075207


NPI Information

NPI: 1205075207
Provider Name: BRIAN L. FONG, MD, INC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
2250 GAUSE BLVD E
SUITE 200
SLIDELL, LA
ZIP 70461
Phone: (985) 641-7775
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BRIAN L. FONG, MD, INC is an orthopaedic surgery in Slidell, LA. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. BRIAN L. FONG, MD, INC NPI is 1205075207. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2250 GAUSE BLVD E
SUITE 200
SLIDELL, LA
ZIP 70461-235
Phone: (985) 641-7775
Fax: (985) 641-1166

The provider's authorized official is Brian L Fong .
The authorized official title is President and has the following contact phone number (985) 641-7775.

The enumeration date for this NPI number is 2/13/2009 and was last updated on 9/8/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic Surgery10265RLOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E64715MEDICARE UPINLOUISIANA
21194920001MEDICARE NSCLOUISIANA
35U877MEDICARE PINLOUISIANA
4200030274OTHERLOUISIANARAILROAD MEDICARE
5C7760OTHERLOUISIANABLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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