ROBERT E BROUILLARD (NPI# 1154508703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154508703 |
| Entity Type | Individual |
| Full Name | ROBERT E BROUILLARD |
| Practice Address |
5440 W Franklin Rd Ste 100 Boise ID 83705-1079 |
| Practice Telephone | 2084221555 |
| Mailing Telephone | 2084221555 |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2011-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | PT-2323 | ID | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487626420 | Robert Brouillard | Internal Medicine | 9850 Genesee Ave, Ste 830, La Jolla, CA 92037-1224 | 2006-02-03 |
| Street Address |
5440 W FRANKLIN RD STE 100 |
| City | BOISE |
| State | ID |
| Zip Code | 83705-1079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851438006 | Gregory C Galloway | Nurse Practitioner | 5440 W Franklin Rd, Suite 100, Boise, ID 83705-1079 | 2007-01-30 |
| 1306496880 | Treasure Valley Psychiatry and Mental Health Pllc | Nurse Practitioner | 5440 W Franklin Rd, Boise, ID 83705-1079 | 2019-09-16 |
| 1720384621 | Denise E Walker | Counselor | 5440 W Franklin Rd, Suite 101, Boise, ID 83705-1079 | 2011-02-10 |
| 1255646618 | Lawrence Edward Stanciu | Counselor | 5440 W Franklin Rd, Suite 101, Boise, ID 83705-1079 | 2010-08-10 |
| 1861649485 | Ray Carleton | Counselor | 5440 W Franklin Rd, Suite 101, Boise, ID 83705-1079 | 2008-08-26 |
| 1184871816 | Jeremy F Blades | Counselor | 5440 W Franklin Rd, Suite 101, Boise, ID 83705-1079 | 2008-08-25 |
| 1518114743 | Sonya G Foster | Counselor | 5440 W Franklin Rd, Suite 101, Boise, ID 83705-1079 | 2008-08-19 |
| 1770759284 | Michael S Mccoy | Counselor | 5440 W Franklin Rd, Ste 101, Boise, ID 83705-1079 | 2008-05-05 |
| 1659546364 | Patrick J Neeser | Social Worker | 5440 W Franklin Rd, Ste 101, Boise, ID 83705-1079 | 2008-04-23 |
| 1902071749 | Clay Dennis Scofield | Counselor | 5440 W Franklin Rd, Suite 101, Boise, ID 83705-1079 | 2008-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938779 | Halo Health Services LLC | Community/Behavioral Health | 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 | 2020-06-29 |
| 1598265860 | Felica Jo Duce | Counselor | 921 S Orchard St Ste 103, Boise, ID 83705 | 2018-02-13 |
| 1215364278 | Erica Zelickowski | Pharmacist | 1653 S Vista Avenue, Boise, ID 83705 | 2013-10-04 |
| 1952655490 | Aida Dizdar-barac | Social Worker | 2273 S. Vista Avenue, Suite 190, Boise, ID 83705 | 2012-11-06 |
| 1033461033 | Julie Marie Meek | Social Worker | 3324 W Elder St, Boise, ID 83705 | 2012-10-15 |
| 1568761112 | Berkeley Fraser | Pharmacist | 3527 S Federal Way Suite 104, Boise, ID 83705 | 2011-03-22 |
| 1922311042 | Amber Vania | Family Medicine | 4971 W. Overland Road, Boise, ID 83705 | 2010-07-18 |
| 1295056836 | Cherise M Wetzel | Social Worker | 1625 S Eagleson Rd, B1, Boise, ID 83705 | 2010-06-17 |
| 1558685305 | Rae Ann Norell | Social Worker | 2273 S. Vista Ave, #190 Treasure Valley Community Counseling Services, Boise, ID 83705 | 2010-03-23 |
| 1164679932 | Oreana Harless | Social Worker | 2550 South Vista Ave, Boise, ID 83705 | 2008-08-25 |
| Find all providers in zip 83705 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851855803 | Lauren Rybarczyk | Specialist | 11498 W Carmichael Dr, Boise, ID 83709-7382 | 2019-01-24 |
| 1851834311 | Tegan Shuman | Specialist | 7307 W San Fernando Dr, Boise, ID 83704-5953 | 2016-11-30 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1093119042 | Robert Porter II | Specialist | 1346 E Candleridge Dr, Boise, ID 83712-6504 | 2014-10-20 |
| 1760885073 | Kelcee Keyes | Specialist | 1705 N Cole Rd, Boise, ID 83704-7304 | 2014-09-30 |
| 1386053213 | Keita Shimada | Specialist | 1910 University Dr # Ms 1020, Boise, ID 83725-0001 | 2014-08-05 |
| 1316373186 | Ralph V Nishitani | Specialist | 9317 W Pandion Ct, Boise, ID 83714-6715 | 2013-09-24 |
| 1548608094 | James Doyce Strong Jr. | Specialist | 3675 S Pimmit Ave, Boise, ID 83706-6416 | 2013-06-06 |
| 1649409269 | Iris Ginron Baker | Specialist | 3555 N Cole Rd, 105, Boise, ID 83704-0733 | 2009-07-02 |
| 1356589931 | Jay T. Ballhagen | Specialist | 10500 W Waterway Ct, Boise, ID 83714-3616 | 2009-02-04 |
| Find all providers in BOISE | ||||
Please comment or provide details below to improve the information on ROBERT E BROUILLARD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.