Brian Lee Fong, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

10265R Issued in LA

Practice address

2965 Gause Blvd E
Suite a
Slidell, LA 70461-4154

Phone

(985) 641-7775

Fax

(985) 641-1166

NPI assigned

Sep 23, 2005

Last updated

Aug 31, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Specialty

Orthopedic SurgeryAlso: Sports Medicine

Education

University of Hawaii John a. Burns School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kindl Works LLCGroup PAC ID 6204124605, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Our Lady of the Lake Surgical Hospital Hospital, Slidell, LA, CCN 190270
• Slidell Memorial Hospital Hospital, Slidell, LA, CCN 190040

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brian.fong.1@11393.direct.athenahealth.com

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

• Brian L. Fong, MD, Inc

  • Orthopaedic Surgery Physician
  • Slidell, LA
  • NPI 1205075207
  Medicare reassignment NPD Authorized official
• Kindl Works LLC

  • Orthopaedic Surgery Physician
  • Slidell, LA
  • NPI 1669926887
  Medicare reassignment Care Compare group NPD

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

• Lake Surgical Hospital Slidell, LLC

  dba Southern Surgical Hospital

  • General Acute Care Hospital
  • Slidell, LA
  • NPI 1821465576
  Care Compare affiliation
• Slidell Memorial Hospital

  • General Acute Care Hospital
  • Slidell, LA
  • NPI 1578568481
  Care Compare affiliation

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1982690095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 BLUFF DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615081",
            "telephone_number": "985-847-0621",
            "fax_number": "985-641-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 GAUSE BLVD E",
            "address_2": "SUITE A",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614154",
            "telephone_number": "985-641-7775",
            "fax_number": "985-641-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "BRIAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "10265R",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "HI",
            "license": "MD7157",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME MEDICARE",
            "identifier": "1194920001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200030274",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "C7760",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Flores
• Suzana E. Flores, PSY.D.
• Florida Parishes Human Services Authority (FPHSA Slidell Clinic)
• Christina Foley
• Theresa Dawn Foley, MACCC/SLP
• Cara Gradney Fontenot, M.D.
• Sondia Felisha Annette Fontenot
• Footprints for Life Youth and Family Services LLC
• Walter C Ford Jr., PHARMD
• Pamela Marie Forest, LPC, CRC

• 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 Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.