Individual provider Active NPI

Huy Bao Nguyen, MD

  • Emergency Medicine Physician
  • Crestview, FL
National Provider Identifier
1396797155
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME88435 Issued in FL
Practice address
151 E Redstone Ave
Crestview, FL 32539-5352
Phone
(850) 434-2853
NPI assigned
May 17, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME88435 FL Primary

Addresses

Primary practice location

151 E Redstone Ave
Crestview, FL 32539-5352

Mailing address

200 Corporate Blvd
Suite 200
Lafayette, LA 70508-3870
Phone (800) 893-9698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040329000316 FL Practitioner - Family PracticePractitioner - Emergency Medicine 5991697518 Reassigns benefits to 5 organizations
I20260414004196 AR Practitioner - Emergency Medicine 5991697518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Chicago, Pritzker School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Walton Rural Hospital LLCGroup PAC ID 8123559168, 29 clinicians

Practice addresses (Care Compare)

4413 US Hwy 331 S
Defuniak Springs, FL 32435-6307
Phone (850) 920-2065

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Pathology Group of Northwest Florida PLLC Current Accepting new patients
Panhandle Emergency Physicians a Div of Sacred Heart Hosp Pensacola Emergency Medicine CurrentSince Mar 28, 2019 Accepting new patients
90 Minute Diagnostics LLC CurrentSince Feb 1, 2025 Accepting new patients
Holmes County Hospital Corp CurrentSince Mar 1, 2020 Accepting new patients
Hnmjts2021 PLLC CurrentSince Jun 1, 2021 Accepting new patients
Jay Hospital, Inc. Emergency Medicine CurrentSince Oct 13, 2024 Accepting new patients
North Walton Rural Hospital, LLC Emergency Medicine CurrentSince Aug 27, 2024 Accepting new patients
Vivid Pathology PA Current Accepting new patients
Jay Hospital, Inc. CurrentSince Oct 13, 2024 Accepting new patients
Aaip LLC Emergency Medicine Current Accepting new patients
Holmes County Hospital Corp CurrentSince Mar 1, 2020 Accepting new patients
Erx Plus Professional Corporation Emergency Medicine Past Accepting new patients
Beckley Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Oak Hill Emergency Physicians, LLC Emergency Medicine Past Accepting new patients

Locations

2600 Hospital Dr
Bonifay, FL 32425
Phone (850) 416-6484

1424 US Highway 331 S
Defuniak Springs, FL 32435
Phone (850) 547-8118

4413 US Highway 331 S
Defuniak Springs, FL 32435
Phone (850) 892-5171

14114 Alabama St
Jay, FL 32565
Phone (850) 675-8000

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
North Walton Doctors HospitalDefuniak Springs, FL, CCN 100365 Hospital 5% Or Greater Indirect Ownership Interest (15.33%)
5% Or Greater Security Interest (15.33%)
Corporate Officer
W-2 Managing Employee
Aug 24, 2024
Aug 27, 2024
Aug 27, 2024
Aug 27, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1396797155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "address_2": "SUITE 200",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 E REDSTONE AVE",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395352",
            "telephone_number": "850-434-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HUY",
        "middle_name": "BAO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME88435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

Verify at the official NPI Registry.