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BRANDY J. BOUTIN
NPI 1255548129
Pediatrics in Gulf Breeze, FL

Active since May 17, 2007PECOS Enrolled
204 CENTER ST, GULF BREEZE, FL 32561(850) 932-5348(850) 932-7740 Get Directions Write a Review

NPPES record last updated: December 16, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brandy J. Boutin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDY J. BOUTIN (NPI 1255548129) is an individual pediatrics provider in Gulf Breeze, Florida, licensed in Florida (ME98071) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255548129
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameBRANDY J. BOUTIN
Location Address204 CENTER STGulf Breeze, FL 32561-4392
Mailing AddressPo Box 2699Pensacola, FL 32513-2699 · (850) 932-5348 · Fax (850) 932-7740
Phone(850) 932-5348
Fax(850) 932-7740
Sole ProprietorNo
Enumeration DateMay 17, 2007
Last NPPES UpdateDecember 16, 2016
✔ NPI 1255548129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME98071
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
204 CENTER ST, Gulf Breeze, FL 32561
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Other Identifiers 2

Medicare UPINF90004FL
Medicaid376274200FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandy J. Boutin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32561 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARL GRANBERRY SPEER MD
Internal Medicine (Gastroenterology)
204 CENTER ST
GULF BREEZE, FL 32561
Santa Rosa County (850) 477-2597
MS. DANA WERT ARNP
Nurse Practitioner (Pediatrics)
204 CENTER ST
GULF BREEZE, FL 32561
Santa Rosa County (850) 932-5348
GASTROENTEROLOGY ASSOCIATES OF PENSACOLA PA
Internal Medicine (Gastroenterology)
204 CENTER ST
GULF BREEZE, FL 32561
Santa Rosa County (850) 436-4563
MARIA GRACIA TOLENTINO HUDSON PA-C
Physician Assistant
204 CENTER ST
GULF BREEZE, FL 32561
Santa Rosa County (850) 477-2597
PERDIDO RENTALS, LLC
Internal Medicine
204 CENTER ST
GULF BREEZE, FL 32561
Santa Rosa County (850) 982-3456
QUINTIN ORVILLE LAW MD
Internal Medicine
204 CENTER ST
GULF BREEZE, FL 32561
Santa Rosa County (850) 932-3456

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandy Boutin's NPI number?

The NPI number for Brandy Boutin is 1255548129. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Brandy Boutin located?

Brandy Boutin practices at 204 Center St, Gulf Breeze, FL 32561. The listed phone number is (850) 932-5348.

What is Brandy Boutin's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Brandy Boutin enrolled in Medicare?

Yes. Brandy Boutin is registered in the Medicare PECOS enrollment system.

What insurance does Brandy Boutin accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 1 other insurer list Brandy Boutin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brandy Boutin was last updated on December 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.