Brandon Heath Fontenot, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN100667 Issued in LA

Practice address

4150 Nelson Rd
A4
Lake Charles, LA 70605

Phone

(337) 474-6353

Fax

(337) 477-7616

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA, IA2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lucas County Health CenterGroup PAC ID 8921916792, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lucas County Health Center Hospital, Chariton, IA, CCN 161341

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lucas County Health Center

  • Critical Access Hospital
  • Chariton, IA
  • NPI 1588636351
  Medicare reassignment Care Compare group NPD
• Lake Charles Anesthesiology, Apmc

  • Anesthesiology Physician
  • Lake Charles, LA
  • NPI 1588674790
  Medicare reassignment NPD
• LCMS Cardiovascular Diseases, LLC

  • Anesthesiology Physician
  • Lake Charles, LA
  • NPI 1285869370
  Medicare reassignment NPD
• Lucas County Heatlh Center

  • Surgery Physician
  • Chariton, IA
  • NPI 1003210824
  NPD
• Salahuddin Syed MD PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Marshalltown, IA
  • NPI 1083054464
  NPD

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

• Lucas County Health Center

  • Critical Access Hospital
  • Chariton, IA
  • NPI 1588636351
  Care Compare affiliation

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225756800000",
    "number": "1316089162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 NELSON RD",
            "address_2": "A4",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70605",
            "telephone_number": "337-474-6353",
            "fax_number": "337-477-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 NELSON RD",
            "address_2": "A4",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70605",
            "telephone_number": "337-474-6353",
            "fax_number": "337-477-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "BRANDON",
        "middle_name": "HEATH",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN100667",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP04635",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1478911",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christy Fontenot Granger, L.M.T.
• Elizabeth Ashley Fontenot Hornsby, MPT
• Holly A Fontenot Umfrid, APRN
• Benjamin Scott Fontenot
• Bobby James Fontenot, FNP-C
• Brandy Fontenot
• Casey Fontenot, NP
• Daniel Paul Fontenot, DC
• Derek Fontenot
• Eric Charles Fontenot, M.D.

• Certified Registered Nurse Anesthetist in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Certified Registered Nurse Anesthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.