Active NPI
Brent D Videau, MD
- Cardiovascular Disease Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME66107
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009946875 | Medicaid | AL | |
| 3756599 00 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Gulf Breeze Hospital
- Jay Hospital
- Sacred Heart Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.01 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 66107 | FL | MD | Hypertension Specialist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Medical Group LLC | Current | Accepting new patients | |
| Baptist Medical Group LLC | Current | 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.
-
- Orthopaedic Surgery Physician
- Pensacola, FL
- NPI 1629749692
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
-
- General Acute Care Hospital
- Gulf Breeze, FL
- NPI 1972664530
-
- Critical Access Hospital
- Jay, FL
- NPI 1912918277
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.