Individual provider Active NPI

Kevin Brian Fox, MD

  • Family Medicine Physician
  • Palmetto, LA
National Provider Identifier
1104968783
Registry record updated Jul 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD06944R Issued in LA
Practice address
9490 Highway 10
Palmetto, LA 71358-0219
Phone
(337) 623-4262
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD06944R LA Primary

Addresses

Primary practice location

9490 Highway 10
Palmetto, LA 71358-0219

Mailing address

PO Box 219
9490 Highway 10
Palmetto, LA 71358-0219
Phone (337) 623-4262

Other identifiers 1

IdentifierTypeStateIssuer
1356638MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050407000589 LA Practitioner - Family PracticePractitioner - Internal Medicine 0749237139 Practice locations: Palmetto, LA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9490 Hwy 10
Palmetto, LA 71358-0219
Phone (337) 623-4262

PO Box
Suite 219
Palmetto, LA 71358

PO Box
Suite 219
Palmetto, LA 71358-0219

Hospital & facility affiliations

  • Opelousas General Health System Hospital, Opelousas, LA, CCN 190017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD06944RLAMDFamily Medicine Physician

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278806400000",
    "number": "1104968783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "address_2": "9490 HIGHWAY 10",
            "city": "PALMETTO",
            "state": "LA",
            "postal_code": "713580219",
            "telephone_number": "337-623-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9490 HIGHWAY 10",
            "city": "PALMETTO",
            "state": "LA",
            "postal_code": "713580219",
            "telephone_number": "337-623-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "KEVIN",
        "middle_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2010-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD06944R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356638",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto, LA

Sources for this page

Verify at the official NPI Registry.