Individual provider Active NPI

Brent D Videau, MD

  • Cardiovascular Disease Physician
  • Pensacola, FL
National Provider Identifier
1730189192
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME66107 Issued in FL
Practice address
125 Baptist Way Ste 3a
Pensacola, FL 32503-2274
Phone
(448) 227-6500
Fax
(578) 571-7478
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hypertension Specialist Physician 207RH0005X 66107 FL
Cardiovascular Disease Physician 207RC0000X ME66107 FL Primary

Addresses

Primary practice location

125 Baptist Way Ste 3a
Pensacola, FL 32503-2274

Mailing address

125 Baptist Way Ste 3a
Pensacola, FL 32503-2274
Phone (448) 227-6500

Other identifiers 2

IdentifierTypeStateIssuer
009946875MedicaidAL
3756599 00MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 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
I20100825001202 FL Practitioner - Cardiovascular Disease (Cardiology) 2163503574 Reassigns benefits to 1 organization
I20111219000425 AL Practitioner - Cardiovascular Disease (Cardiology) 2163503574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Louisiana State University School of Medicine in New Orleans, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Medical Group LLCGroup PAC ID 9638215734, 258 clinicians

Practice addresses (Care Compare)

1110 Gulf Breeze Pkwy
Suite 200
Gulf Breeze, FL 32561-4803
Phone (850) 437-8810

1118 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-7801

1121 Belleview Ave
Brewton, AL 36426-1500
Phone (850) 484-6500

123 Baptist Way
Pensacola, FL 32503-2254
Phone (448) 227-3100

125 Baptist Way
Pensacola, FL 32503-2254

14114 Alabama St
Jay, FL 32565-1219
Phone (850) 437-8810

8888 Navarre Pkwy
Navarre, FL 32566-3615
Phone (850) 437-8800

9400 University Pkwy
Pensacola, FL 32514-5485

Hospital & facility affiliations

  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093
  • Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266
  • Jay Hospital Hospital, Jay, FL, CCN 101315
  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025

Merit-based Incentive Payment System (MIPS)

Final score
81.01 of 100Reported as group
Quality
62.34
Promoting interoperability
95
Improvement activities
40
Cost
78.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66107FLMDHypertension Specialist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Group LLC CurrentSince Jan 1, 2021 Accepting new patients
Baptist Medical Group LLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

401 S 8th Ave
Atmore, AL 36502
Phone (251) 368-2500

1121 Belleville Ave
Brewton, AL 36426
Phone (251) 809-3180

1604 N McKenzie St
Foley, AL 36535
Phone (251) 955-1030

5907 Berryhill Rd
Milton, FL 32570
Phone (850) 437-8711

1717 N E St
Ste 333
Pensacola, FL 32501

9400 University Pkwy
Pensacola, FL 32514
Phone (850) 208-6000

9400 University Pkwy
Ste 103
Pensacola, FL 32514
Phone (448) 227-6500

125 Baptist Way
Ste 3C
Pensacola, FL 32503
Phone (448) 227-6500

1717 N E St
Ste 331
Pensacola, FL 32501
Phone (850) 430-7081

1717 N E St
Ste 434
Pensacola, FL 32501
Phone (850) 430-7101

9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256

125 Baptist Way
Ste 3A
Pensacola, FL 32503
Phone (448) 227-6500

Organizations & group practices 2

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

Hospital & facility affiliations 4

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1730189192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 BAPTIST WAY STE 3A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032274",
            "telephone_number": "448-227-6500",
            "fax_number": "850-857-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BAPTIST WAY STE 3A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032274",
            "telephone_number": "448-227-6500",
            "fax_number": "578-571-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDEAU",
        "first_name": "BRENT",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0005X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hypertension Specialist",
            "state": "FL",
            "license": "66107",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME66107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009946875",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3756599 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.