Richard J Brouillette (NPI# 1063626836, PAC ID# 6002085925) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1063626836 |
| PAC ID by PECOS | 6002085925 |
| Professional Enrollment ID | I20110811000078 |
| Full Name | Richard J Brouillette |
| Organization Legal Name | CENTER FOR PAIN MANAGEMENT, LLC |
| Address |
3460 Old Washington Rd Suite 300 Waldorf MD 20602-3245 |
| Phone Number | 3018812423 |
| Gender | M |
| Medical School | UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Group Practice PAC ID | 0547246555 |
| Number of Group Practice Members | 55 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210028 | MEDSTAR SAINT MARY'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3460 Old Washington Rd, Suite 300, Waldorf, MD 20602-3245 | 3018812423 | CENTER FOR PAIN MANAGEMENT, LLC |
| Organization Legal Name | CENTER FOR PAIN MANAGEMENT, LLC |
| Physicians | 60 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sanchez C Brown | Nurse Practitioner | Center for Pain Management, LLC | 3460 Old Washington Rd, Suite 300, Waldorf, MD 20602-3245 |
| Surmeet Singh Chhina | Anesthesiology | Center for Pain Management, LLC | 75 Thomas Johnson Dr C, Frederick, MD 21702-4895 |
| Shaan Sudhakaran | Anesthesiology | Center for Pain Management, LLC | 8455 Colesville Rd, Suite 200, Silver Spring, MD 20910-6347 |
| Cheryl Lourdes Mejia | Physical Medicine and Rehabilitation | Center for Pain Management, LLC | 1150 Professional Ct P, Hagerstown, MD 21740-4100 |
| Joni Yvette Mills | Nurse Practitioner | Center for Pain Management, LLC | 16900 Science Dr, Suite 100, Bowie, MD 20715-4423 |
| Shelley Ann Castle | Nurse Practitioner | Center for Pain Management, LLC | 940 Seton Dr, Cumberland, MD 21502-1818 |
| Mauricio Rojas Manuel Jr. | Physician Assistant | Center for Pain Management, LLC | 510 Upper Chesapeake Dr, Suite 415, Bel Air, MD 21014-4336 |
| Joshua Sang Ho Han | Nurse Practitioner | Center for Pain Management, LLC | 1600 Crain S Hwy 301, Glen Burnie, MD 21061-6446 |
| Abdul Soudan | Interventional Pain Management | Center for Pain Management, LLC | 7120 Minstrel Way, Suite 106, Columbia, MD 21045-5274 |
| Luckricia Olivacce | Physician Assistant | Center for Pain Management, LLC | 7120 Minstrel Way, Suite 106, Columbia, MD 21045-5274 |
| Street Address |
3460 OLD WASHINGTON RD SUITE 300 |
| City | WALDORF |
| State | MD |
| Zip | 20602-3245 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sanchez C Brown | Nurse Practitioner | Center for Pain Management, LLC | 3460 Old Washington Rd, Suite 300, Waldorf, MD 20602-3245 |
| Omar F Ahmad | Ophthalmology | Omar F. Ahmad, M.d., P.C. | 3460 Old Washington Rd, Waldorf, MD 20602-3241 |
| John Choi | Ophthalmology | Omar F. Ahmad, M.d., P.C. | 3460 Old Washington Rd, 101 Chesapeake Retina Centers, Waldorf, MD 20602-3241 |
| Malav Joshi | Ophthalmology | Omar F. Ahmad, M.d., P.C. | 3460 Old Washington Rd, 101 Chesapeake Retina Centers, Waldorf, MD 20602-3241 |
| Lillie Walker | Physician Assistant | Center for Pain Management, LLC | 3460 Old Washington Rd, Suite 300, Waldorf, MD 20602-3245 |
| Olivia Claudia Dryjski | Ophthalmology | Consulting Ophthalmologists LLC | 3460 Old Washington Rd, Suite 302, Waldorf, MD 20602-3245 |
| Collins P Sein | Internal Medicine | 3460 Old Washington Rd, Suite 203a, Waldorf, MD 20602-3243 | |
| Olufunke Omowumi Ajayi | Nurse Practitioner | Center for Pain Management, LLC | 3460 Old Washington Rd, Suite 300, Waldorf, MD 20602-3245 |
| Angela S Barnes | Nurse Practitioner | Center for Pain Management, LLC | 3460 Old Washington Rd, Suite 300, Waldorf, MD 20602-3245 |
| Samuel Huisok Yun | Ophthalmology | Omar F. Ahmad, M.d., P.C. | 3460 Old Washington Rd, 101 Chesapeake Retina Centers, Waldorf, MD 20602-3241 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin R Pimentel | General Practice | The Physicians Group Chartered | 601 Post Office Rd, Suite 1a, Waldorf, MD 20602-1912 |
| Patricia Vance | Psychologist, Clinical | Coquus | 601 Post Office Rd, 2d, Waldorf, MD 20602-1912 |
| Paul E Donato | Clinical Social Worker | Coquus | 601 Post Office Rd, 2d, Waldorf, MD 20602-1912 |
| Michael A Pimentel | General Practice | The Physicians Group Chartered | 601 Post Office Rd, Suite 1a, Waldorf, MD 20602-1912 |
| Charles L Ruby | Psychologist, Clinical | Pinnacle Center for Mental Health and Human Relations LLC | 603 Post Office Rd, Suite 210, Waldorf, MD 20602-1914 |
| Lee F Owens | Psychologist, Clinical | Pinnacle Center for Mental Health and Human Relations LLC | 603 Post Office Rd, Suite 210, Waldorf, MD 20602-1914 |
| Mary Beth Voorhees | Clinical Social Worker | Walden Sierra Corporation | 85 High St, Waldorf, MD 20602-2150 |
| Joseph Distefano | Podiatry | Larry S Hotchkiss Dpm PC | 12070 Old Line Ctr, Suite 110, Waldorf, MD 20602-2503 |
| Larry S Hotchkiss | Podiatry | Larry S Hotchkiss Dpm PC | 12070 Old Line Ctr, Suite 110, Waldorf, MD 20602-2503 |
| Justin G Pointer | Podiatry | Larry S Hotchkiss Dpm PC | 12070 Old Line Ctr, Suite 110, Waldorf, MD 20602-2503 |
| Find all physicians in zip 20602 | |||
| City | WALDORF |
| Zip Code | 20602 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | WALDORF + INTERVENTIONAL PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Richard J Brouillette.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.