Individual
DR. BRIAN LEE FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2965 GAUSE BLVD E, SUITE A, SLIDELL, LA 70461-4154
(985) 641-7775
(985) 641-1166
Mailing address
1209 BLUFF DR, SLIDELL, LA 70461-5081
(985) 847-0621
(985) 641-1166
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
10265R
LA
207X00000X
Orthopaedic Surgery Physician
MD7157
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194920001
DME MEDICARE
—
01
—
200030274
RAILROAD MEDICARE
—
01
—
C7760
BLUE CROSS
—
Enumeration date
09/23/2005
Last updated
08/31/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us