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

Cory James Fernandes, DO

Individual provider Family Medicine Physician · NPI 1952892895

Cory James Fernandes, DO is a Family Practice in Bossier City, Louisiana. Graduated from Touro Un College of Osteopathic Medicine, Vallejo in 2018, 8 years ago. Practices with LSU Health Sciences Center Shreveport Faculty Group Practice, a 569-clinician group and accepts Medicare assignment. Licensed in Louisiana and Texas.

Years since qualifying
8
Trained at
Touro Un College of Osteopathic Medicine, Vallejo
Licensed in
LA, TX
In the registry since
2018
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

4481 Viking Dr
Bossier City, LA 71111-7414
Phone: (318) 626-2593
Fax: (318) 399-7716
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 341893 (LA)
Family Medicine Physician Taxonomy 207Q00000X · Licence T4919 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1952892895
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 26, 2018
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025
Mailing address3307 Fairfield Ave, Shreveport, LA 71104-4103

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolTOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Graduated 2018 (8 years in practice)
Group practice Lsu Health Sciences Center Shreveport Faculty Group Practice — 569 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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