BENNETT BOUSTANY FONTENOT LLC – NPI #1770359952
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

Health Care Provider Taxonomy Code for Surgery

BENNETT BOUSTANY FONTENOT LLC is a surgeon located in LAFAYETTE, LA. NPPES has assigned the NPI number 1770359952 to BENNETT BOUSTANY FONTENOT LLC on November 29, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 3 years ago on Nov 30, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BENNETT BOUSTANY FONTENOT LLC below.

NPI Profile for
BENNETT BOUSTANY FONTENOT LLC

NPI Number
1770359952
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BENNETT BOUSTANY FONTENOT LLC
Primary location
5000 AMBASSADOR CAFFERY PKWY STE 101
LAFAYETTE, LA 70508-6984
Phone: (504) 390-4619 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LAUREN GAST
MANAGER
Phone: (985) 635-6943
Updated
Certification Date
Nov 30, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.