Brian L. Fong, MD, Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

10265R Issued in LA

Legal business name

BRIAN L. FONG, MD, INC

Practice address

2250 Gause Blvd E
Suite 200
Slidell, LA 70461-4235

Phone

(985) 641-7775

Fax

(985) 641-1166

NPI assigned

Feb 13, 2009

Last updated

Sep 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian L Fong, MDNPI 1982690095

Title

President

Phone

(985) 641-7775

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Lee Fong, MD

  • Orthopaedic Surgery Physician
  • Slidell, LA
  • NPI 1982690095
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1205075207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 GAUSE BLVD E",
            "address_2": "PMB #51058",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614235",
            "telephone_number": "985-641-7775",
            "fax_number": "985-641-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 GAUSE BLVD E",
            "address_2": "SUITE 200",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614235",
            "telephone_number": "985-641-7775",
            "fax_number": "985-641-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN L. FONG, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-641-7775",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "10265R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "C7760",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200030274",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Breeding Robichaux
• Michael A Brenner
• Byron Lee Brewer Jr., RNFA
• Mindy Trahan Brewer, APRN, ACNP-BC
• Nannette Alline Brewer
• Chandra Marie Brice
• Shawn Brickley Jr.
• Allyson Bridges, FNP-C
• Mary Katherine Bridges, FNP, AGACNP
• Clark Michael Brien Jr.

• Orthopaedic Surgery Physician in Slidell, LA
• Providers in Slidell, LA by specialty
• Orthopaedic Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.