Dr. Brent C Thibodeaux
MD | Pediatrics | Male
Dr. Brent C Thibodeaux, MD is a Reston, Virginia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Brent C Thibodeaux is
11445 Sunset Hills Rd, Kaiser Permanente Reston Medical Center, Reston, Virginia - 20190-5276. He can be contacted on phone at
703-709-1500 and fax number 703-709-1711.
Dr. Brent C Thibodeaux is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Brent C Thibodeaux is
1386705721 which was assigned by NPPES on 12 Dec, 2006 and it was last updated on 23 Jun, 2021.
Dr. Brent C Thibodeaux license number is
0101057696 for Pediatrics (208000000X) in Virginia.
Dr. Brent C Thibodeaux is a pediatrician who 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.
Complete Profile:
Dr. Brent C Thibodeaux basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Brent C Thibodeaux |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Brent C Thibodeaux address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 11445 Sunset Hills Rd, Kaiser Permanente Reston Medical Center
Reston, VA, 20190-5276
United States |
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| Phone Number : | 703-709-1500 |
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| Fax Number : | 703-709-1711 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1386705721 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 12 Dec, 2006 |
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| Last Updated On : | 23 Jun, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Brent C Thibodeaux are as mentioned. Primary taxonomy code for Dr. Brent C Thibodeaux, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | D61216 | MD |
| 208000000X | Pediatrics | No | MD034757 | DC |
| 208000000X | Pediatrics | Yes | 0101057696 | VA |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
SOAP
(SOAP URL) | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways
Carequality | No affiliation | HIE
Health Information Exchange (HIE)
| OTHER
Other
C-CDA | 11445 SUNSET HILLS RD, KAISER PERMANENTE RESTON MEDICAL CENTER
RESTON, VA, 20190-5276
United States |
SOAP
(SOAP URL) | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways
Carequality | No affiliation | HIE
Health Information Exchange (HIE)
| OTHER
Other
C-CDA | 11445 SUNSET HILLS RD, KAISER PERMANENTE RESTON MEDICAL CENTER
RESTON, VA, 20190-5276
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2101 E Jefferson St, Kaiser Permanente Medicare Enrollment
Rockville, MD, 20852-4908
United States |
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| Phone Number : | 301-816-2424 |
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Business Location:
Patients can refer following map for directions to
Dr. Brent C Thibodeaux practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.