Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Brent C Thibodeaux, MD

Individual provider Pediatrics Physician · NPI 1386705721

Dr. Brent C Thibodeaux, MD is a Pediatrics Physician in Reston, Virginia. Licensed in District of Columbia, Maryland and Virginia. Registered with an NPI since 2006.

Licensed in
DC, MD, VA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11445 Sunset Hills Rd Kaiser Permanente Reston Medical Ctr
Reston, VA 20190-5276
Phone: (703) 709-1500
Fax: (703) 709-1711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 0101057696 (VA)
Pediatrics Physician Taxonomy 208000000X · Licence D61216 (MD)
Pediatrics Physician Taxonomy 208000000X · Licence MD034757 (DC)

Record details

NPI number1386705721
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 12, 2006
Last updated in NPPESJune 23, 2021
Certification dateJune 23, 2021
Mailing address2101 E Jefferson St, Kaiser Permanente Medicare Enrollment, Rockville, MD 20852-4908

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