Dr. Brent C Thibodeaux, MD
Dr. Brent C Thibodeaux is a Pediatrics Physician provider (Pediatrics) practicing in Reston, VA, registered in the NPPES registry with NPI 1386705721 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1386705721 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Brent C Thibodeaux |
| Credential | MD |
| Sex | Male |
| Practice address | 11445 SUNSET HILLS RD, KAISER PERMANENTE RESTON MEDICAL CENTER, Reston, VA, 20190 |
| Phone | 7037091500 |
| Fax | 7037091711 |
| Enumeration date | 2006-12-12 |
| Last updated in NPPES | 2021-06-23 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208000000X | Pediatrics Physician | Secondary | D61216 | MD |
| 208000000X | Pediatrics Physician | Secondary | MD034757 | DC |
| 208000000X | Pediatrics Physician | Primary | 0101057696 | VA |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Copy-ready billing details
Provider: Brent Thibodeaux, MD NPI: 1386705721 Taxonomy: 208000000X (Pediatrics Physician) Address: 11445 SUNSET HILLS RD, KAISER PERMANENTE RESTON MEDICAL CENTER, Reston, VA, 20190
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1255301412 | Wanda Patterson | Individual | Dermatology Physician | Reston, VA |
| 1922025618 | Seung Yo | Individual | Diagnostic Radiology Physician | Reston, VA |
| 1386741395 | Thuan Nguyen | Individual | Internal Medicine Physician | Reston, VA |
| 1255497947 | Daniel Kaw | Individual | Internal Medicine Physician | Reston, VA |
| 1912064320 | Colman Mulkerrins | Individual | Pharmacist | Reston, VA |
| 1669526844 | Andy Le | Individual | Pharmacist | Reston, VA |
| 1831236330 | Christin Loudon | Individual | Nutritionist | Reston, VA |
| 1467595678 | Susan Movahedi | Individual | Health Maintenance Organization | Reston, VA |
Verify this record
Cross-check NPI 1386705721 against the authoritative CMS record: view Dr. Brent C Thibodeaux on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-06-23.