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

Dr. Philip Andre Fontenot Jr., MD

Individual provider Urology Physician · NPI 1790121424

Dr. Philip Andre Fontenot Jr., MD is an Urology in Greenville, South Carolina. Qualified in 2013, 13 years ago. Practices with Bon Secours Medical Group Greenville Specialty Care LLC, a 289-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
13
Licensed in
SC
In the registry since
2013
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

50 Bear Dr
Greenville, SC 29605
Phone: (864) 295-2131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Saint Francis Dr, Greenville, SC 29601-3955 — (864) 255-1000

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 51583 (SC)

Record details

NPI number1790121424
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 21, 2013
Last updated in NPPESJune 28, 2018

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Bon Secours Medical Group Greenville Specialty Care Llc — 289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Greenville