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MR. BRIAN KEITH FONTENOT PA-C
NPI 1790228013
Physician Assistant - Medical in Shreveport, LA

Active since November 18, 2016PECOS EnrolledAccepts Medicare Assignment
2751 ALBERT L BICKNELL DR STE 5C, SHREVEPORT, LA 71103(318) 227-9777(318) 459-1188 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2021, Dec 16, 2019, Nov 13, 2017 and 1 more (4 updates tracked since 2016).

About Mr. Brian Keith Fontenot Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BRIAN KEITH FONTENOT PA-C (NPI 1790228013) is an individual medical provider in Shreveport, Louisiana, licensed in Louisiana (303880) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1790228013
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. BRIAN KEITH FONTENOTCredential: PA-C
Location Address2751 ALBERT L BICKNELL DR STE 5CShreveport, LA 71103-3943
Mailing Address2751 Albert L Bicknell Dr Ste 5cShreveport, LA 71103-3943 · (318) 227-9777 · Fax (318) 459-1188
Phone(318) 227-9777
Fax(318) 459-1188
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 18, 2016
Last NPPES UpdateJuly 12, 20214 updates tracked since enumeration
NPPES CertifiedJuly 12, 2021
✔ NPI 1790228013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in LA · 303880
2751 ALBERT L BICKNELL DR STE 5C, Shreveport, LA 71103
Open in Google Maps ↗

Secondary Practice Location 1

Location 16701 Fannin StHouston, TX 77030-2608 · Phone (832) 824-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Brian Keith Fontenot Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496182727
PECOS Enrollment IDI20200227000447
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
13 services13 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190111
Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GARRETT WILLIAMS
Physician Assistant
2751 ALBERT L BICKNELL DR STE 5C
SHREVEPORT, LA 71103
Caddo Parish (318) 227-9777
APRIL CHASE ACNPC-AG
Nurse Practitioner (Acute Care)
2751 ALBERT L BICKNELL DR STE 5C
SHREVEPORT, LA 71103
Caddo Parish (318) 227-9777
AMANDA MARIE DAVIS AGACNP-BC
Nurse Practitioner (Acute Care)
2751 ALBERT L BICKNELL DR STE 5C
SHREVEPORT, LA 71103
Caddo Parish (318) 227-9777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Fontenot's NPI number?

The NPI number for Brian Fontenot is 1790228013. It was assigned to this individual provider in the NPPES registry on November 18, 2016.

Where is Brian Fontenot located?

Brian Fontenot practices at 2751 Albert L Bicknell Dr Ste 5C, Shreveport, LA 71103. The listed phone number is (318) 227-9777.

What is Brian Fontenot's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Brian Fontenot enrolled in Medicare?

Yes. Brian Fontenot is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brian Fontenot accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Brian Fontenot as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brian Fontenot affiliated with any hospitals?

According to CMS data, Brian Fontenot is affiliated with Willis Knighton Medical Center.

When was this NPI record last updated?

The NPPES record for Brian Fontenot was last updated on July 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.