Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Brian Keith Fontenot, PA-C

Individual provider Medical Physician Assistant · NPI 1790228013

Mr. Brian Keith Fontenot, PA-C is a Physician Assistant in Shreveport, Louisiana. Qualified in 2016, 10 years ago. Practices with Wk Red River Cardiovascular Surgeons, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
10
Licensed in
LA
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2751 Albert L Bicknell Dr Ste 5C
Shreveport, LA 71103-3943
Phone: (318) 227-9777
Fax: (318) 459-1188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6701 Fannin St, Houston, TX 77030-2608 — (832) 824-1000

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 303880 (LA)

Record details

NPI number1790228013
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 18, 2016
Last updated in NPPESJuly 12, 2021
Certification dateJuly 12, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Wk Red River Cardiovascular Surgeons — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Shreveport