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MR. BRIAN KEITH FONTENOT PA-C NPI 1790228013


NPI Information

NPI: 1790228013
Provider Name: MR. BRIAN KEITH FONTENOT, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
2751 ALBERT L BICKNELL DR STE 5C
SHREVEPORT, LA
ZIP 71103
Phone: (318) 227-9777
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MR. Brian Keith Fontenot, PA-C is a medical physician assistant in Shreveport, LA with 8 years of experience. MR. Brian Keith Fontenot, PA-C NPI is 1790228013. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2751 ALBERT L BICKNELL DR STE 5C
SHREVEPORT, LA
ZIP 71103-943
Phone: (318) 227-9777
Fax: (318) 459-1188

The NPI 1790228013 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Harvest of veins for coronary artery bypass procedure using an endoscope (HCPCS:33508)
  • Heart artery bypass to repair one artery (HCPCS:33533)
  • Combined multiple vein and artery heart artery bypasses (HCPCS:33518)

The enumeration date for this NPI number is 11/18/2016 and was last updated on 7/12/2021.


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
1363AM0700XPhysician AssistantMedical303880LOUISIANAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.