DR. BEAU BROUILLETTE (NPI# 1457353682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457353682 |
| Entity Type | Individual |
| Full Name | DR. BEAU BROUILLETTE |
| Credential | M.D. |
| Practice Address |
5541 Highway 1 Marksville LA 71351-2650 |
| Mailing Address |
919 Hidden Rdg Fl 6 Irving TX 75038-3813 |
| Practice Telephone | 3182407240 |
| Practice Fax Number | 3182407180 |
| Mailing Telephone | 4692822713 |
| Mailing Fax Number | 4692822609 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2016-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | M.D.024120 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1571091 | 05 |
| Street Address |
5541 HIGHWAY 1 |
| City | MARKSVILLE |
| State | LA |
| Zip Code | 71351-2650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992707236 | Fernando Garcia | Contractor | 5541 Highway 1, Marksville, LA 71351-2650 | 2005-06-01 |
| 1194340695 | Jessica Ravare | Nurse Practitioner | 5541 Highway 1, Marksville, LA 71351-2650 | 2020-06-10 |
| 1679134407 | Clhg-avoyelles LLC | Clinic/Center | 5541 Highway 1, Marksville, LA 71351-2650 | 2019-06-24 |
| 1194139048 | Keteral James Ducote II | Nurse Practitioner | 5541 Highway 1, Marksville, LA 71351-2650 | 2014-06-18 |
| 1194142364 | Laurie Kirkham | Nurse Practitioner | 5541 Highway 1, Marksville, LA 71351-2650 | 2014-03-25 |
| 1679889349 | Melissa J Ducote | Nurse Practitioner | 5541 Highway 1, Marksville, LA 71351-2650 | 2010-08-19 |
| 1972705796 | Wendy Pauline Dauzat | Nurse Practitioner | 5541 Highway 1, Marksville, LA 71351-2650 | 2007-06-04 |
| 1285652156 | C H Wilkinson Physician Network | Family Medicine | 5541 Highway 1, Marksville, LA 71351-2650 | 2006-07-18 |
| 1962406884 | Clara Basco Coutee | Nurse Practitioner | 5541 Highway 1, Marksville, LA 71351-2650 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343814 | Nikura Tucker | Nurse Practitioner | 3265 Military Rd., Ringgold, LA 71351 | 2020-07-09 |
| 1023661485 | Brittany Nicole Jacobs | Durable Medical Equipment & Medical Supplies | 7652 Highway 1 Unit B, Mansura, LA 71351 | 2019-07-24 |
| 1811557648 | Northland Hearing Centers, Inc. | Clinic/Center | 430 S Washington St, Marksville, LA 71351 | 2019-06-14 |
| 1912481649 | Hulin Urgent Care Services, LLC | Clinic/Center | 863 Tunica Drive East, Marksville, LA 71351 | 2018-09-19 |
| 1104347988 | Abc Transport Services | Non-emergency Medical Transport (VAN) | 219 Tunica Villlage Ln, Marksville, LA 71351 | 2017-06-30 |
| 1487183612 | Louisiana Health Care Practitioners LLC | Clinic/Center | 457 W Waddil St Ste A, Marksville, LA 71351 | 2017-06-10 |
| 1932579232 | Angel Ducote | Case Manager/Care Coordinator | 5230 Highway 107, Marksville, LA 71351 | 2015-09-29 |
| 1902201379 | Hawkeye Medical Urgent Care,llc | Clinic/Center | 597 Tunica Dr. W., Marksville, LA 71351 | 2014-10-28 |
| 1649516261 | Practicare, LLC | General Practice | 597 Tunica Drive W, Marksville, LA 71351 | 2012-12-31 |
| 1942553813 | Relax & Enjoy Adult Day Care Center | Licensed Practical Nurse | 424 Benita St., Marksville, LA 71351 | 2012-10-17 |
| Find all providers in zip 71351 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447555420 | John Edward Lemoine | Family Medicine | 597 Tunica Dr W, Marksville, LA 71351-2628 | 2011-01-21 |
| 1851517734 | Dixie Guillot Clement | Family Medicine | 4218 Highway 1192, Marksville, LA 71351-4710 | 2007-04-18 |
| 1679550248 | Darron Clark Mccann | Family Medicine | 424 N Washington St, Ste 2, Marksville, LA 71351-2426 | 2005-12-27 |
| 1568464790 | Edmond Kalifey | Family Medicine | 137 Dr. Childress Dr., Marksville, LA 71351 | 2005-06-01 |
| 1194918557 | Warren J. Plauche, M.d., PC | Family Medicine | 4231 Highway 1192, Marksville, LA 71351 | 2007-08-20 |
| 1528195765 | Warren John Plauche | Family Medicine | 4231 Highway 1192, Marksville, LA 71351 | 2007-02-27 |
| 1437205242 | Lovell John Mayeux, Jr. | Family Medicine | 1444 S Main St, Marksville, LA 71351-3217 | 2007-01-25 |
| 1285652156 | C H Wilkinson Physician Network | Family Medicine | 5541 Highway 1, Marksville, LA 71351-2650 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060135 | Audubon Family Medicine LLC | Family Medicine | 2301 Moss St, Lafayette, LA 70501-2125 | 2020-10-15 |
| 1588270581 | Wk Palmetto Family Practice | Family Medicine | 4200 Palmetto Rd, Benton, LA 71006-9420 | 2020-09-16 |
| 1255941498 | Concierge Medical Services | Family Medicine | 4108 Vendome Pl, New Orleans, LA 70125-2739 | 2020-08-03 |
| 1922621390 | Partners In Primary Care La PC | Family Medicine | 7551 Youree Dr Ste 11, Shreveport, LA 71105-5533 | 2020-05-20 |
| 1760005136 | Partners In Primary Care La PC | Family Medicine | 2900 E Texas St Ste 100, Bossier City, LA 71111-3275 | 2020-05-20 |
| 1871116244 | Partners In Primary Care La PC | Family Medicine | 537 Bertrand Dr Ste F0a, Lafayette, LA 70506-5556 | 2020-05-20 |
| 1578185781 | Prestige Medical Staffing and Marketing | Family Medicine | 4108 Vendome Place, New Orleans, LA 70125 | 2020-05-11 |
| 1487275939 | La Health Solutions-laplace LLC | Family Medicine | 1524 W Airline Hwy, La Place, LA 70068-3725 | 2020-05-06 |
| 1316575434 | Southern Healthcare of Louisiana | Family Medicine | 1340 Gause Blvd W, Slidell, LA 70460 | 2020-04-01 |
| 1780219907 | Shirley Ann Burns | Family Medicine | 1201 South St, Vinton, LA 70668-4509 | 2020-03-09 |
| Find all providers with the same taxonomy | ||||
| City | MARKSVILLE |
| Zip Code | 71351 |
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| 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.