Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386705721 Individual Practitioner Male Practitioner

Dr. Brent C Thibodeaux , MD

Pediatrics • Reston, VA

Professional Overview & Biography Verified Profile Summary

Dr. Brent Thibodeaux, MD is a registered healthcare professional specializing in Pediatrics in Reston, VA. Practice services are available at 11445 SUNSET HILLS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11445 Sunset Hills Rd
Kaiser Permanente Reston Medical Center

Reston, VA 201905276

Telephone 7037091500
Fax 7037091711
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Reston, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
36 Specialists

Practicing in Reston, VA (2079 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-23
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License VA 0101057696

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License MD D61216

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License DC MD034757

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

36 Associated Practitioners
Dr. Carl Brown , MD

Obstetrics & Gynecology

NPI 1013075936

Doctor of Medicine (M.D.)

Thien Nguyen

Pharmacist

NPI 1013453588
Dr. Issam Shebaro , MD

Obstetrics & Gynecology

NPI 1023176013

Doctor of Medicine (M.D.)

Dr. Jonathan Menezes , MD

Family Medicine - Geriatric Medicine

NPI 1023329802

Doctor of Medicine (M.D.)

Dr. Lo An Nguyen , MD

Internal Medicine

NPI 1033284971

Doctor of Medicine (M.D.)

Maureen West , CRNP

Nurse Practitioner

NPI 1053468371

Certified Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 15, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 15, 2011

Registered at 11445 SUNSET HILLS RD, KAISER PERMANENTE RESTON MEDICAL CENTER, RESTON, VA 201905276 (Tel: 7037091500)

📍
Updated Business Mailing Address November 15, 2011

Registered at 2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 208524908 (Tel: 3018162424)

👤
Provider Name / Credentials Updated November 15, 2011

Recorded as BRENT THIBODEAUX, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2011

Pediatrics (License #0101057696 in VA)

🟢
Initial NPI Registration & Enumeration December 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386705721
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2006
Last Update: June 23, 2021
Sole Proprietor: No

Mailing Address

2101 E Jefferson St, Kaiser Permanente Medicare Enrollment

Rockville, MD 208524908

Phone: 3018162424

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.