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

Brandy Fontenot

Individual provider Nurse Practitioner · NPI 1205425154

Brandy Fontenot is a Nurse Practitioner in Lake Charles, Louisiana. Qualified in 2020, 6 years ago. Practices with Great River Orthopedic and Sports Medicine Center Inc, a 5-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
6
Licensed in
LA
In the registry since
2021
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Practice location Address checks out

801 W Bayou Pines Dr
Lake Charles, LA 70601-7076
Phone: (337) 404-4075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 219160 (LA)

Record details

NPI number1205425154
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 14, 2021
Last updated in NPPESMarch 22, 2026
Certification dateMarch 22, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Great River Orthopedic And Sports Medicine Center Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake Charles