Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bennett Fontenot, MD

Individual provider Surgery Physician · NPI 1033316310

Bennett Fontenot, MD is a Plastic and Reconstructive Surgery in Lafayette, Louisiana. Graduated from Louisiana State University School of Medicine in New Orleans in 2007, 19 years ago. Practices with Physical Therapy Services of West Louisiana Inc, a 97-clinician group and works from 2 locations. Licensed in Louisiana and South Carolina.

Years since qualifying
19
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
LA, SC
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

900 E Saint Mary Blvd Ste 104
Lafayette, LA 70503-2378
Phone: (337) 504-3640
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 96 Jonathan Lucas St, Charleston, SC 29425-8900 — (843) 792-3072

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD.205820 (LA)
Surgery Physician Taxonomy 208600000X · Licence LL30088 (SC)

Record details

NPI number1033316310
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 29, 2007
Last updated in NPPESMarch 17, 2018
Mailing address104 Fernridge Dr, Lafayette, LA 70508-5444

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2007 (19 years in practice)
Group practice Physical Therapy Services Of West Louisiana Inc — 97 clinicians
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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