Beau Brouillette (NPI# 1457353682, PAC ID# 8921085432) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1457353682 |
| PAC ID by PECOS | 8921085432 |
| Professional Enrollment ID | I20040702000078 |
| Full Name | Beau Brouillette |
| Organization Legal Name | C H WILKINSON PHYSICIAN NETWORK |
| Address |
1 Saint Mary Pl Shreveport LA 71101-4343 |
| Phone Number | 7132772222 |
| Gender | M |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 8921919580 |
| Number of Group Practice Members | 183 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190099 | AVOYELLES HOSPITAL |
| 190019 | CHRISTUS ST FRANCES CABRINI HOSPITAL |
| 191311 | BUNKIE GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 919 Hidden Rdg, Suite 1008, Irving, TX 75038-3813 | 4692822700 | C H WILKINSON PHYSICIAN NETWORK |
| 5541 Hwy 1, Marksville, LA 71351-2650 | 3182407240 | C H WILKINSON PHYSICIAN NETWORK |
| 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 7132772222 | C H WILKINSON PHYSICIAN NETWORK |
| Organization Legal Name | C H WILKINSON PHYSICIAN NETWORK |
| Physicians | 182 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phillip Granville Pace | Family Medicine | C H Wilkinson Physician Network | 3502 Richmond Rd, Texarkana, TX 75503-0705 |
| Paul James Schmitt | Neurosurgery | C H Wilkinson Physician Network | 1276 S Peachtree St, Jasper, TX 75951-4916 |
| Allyson A Hanson | Family Medicine | C H Wilkinson Physician Network | 805 Trinity Dr, Ctc Hope, Hope, AR 71801-3621 |
| Mary Ann Dutchover | Nurse Practitioner | C H Wilkinson Physician Network | 910 James Bowie Dr, New Boston, TX 75570-2335 |
| Cheryl L Hobbs | Nurse Practitioner | C H Wilkinson Physician Network | 8445 Memorial Blvd, Suite 500, Port Arthur, TX 77640-7003 |
| Christina R White | Nurse Practitioner | C H Wilkinson Physician Network | 308 Griffith St, Pineville, LA 71360-5270 |
| Amy E Shivone | Family Practice | C H Wilkinson Physician Network | 191 N Union Ave, New Braunfels, TX 78130-4447 |
| Igor E Matwijiw | Endocrinology | C H Wilkinson Physician Network | 2602 Saint Michael Dr, Texarkana, TX 75503-2387 |
| Jackson Chia Sheng Chen | Family Practice | C H Wilkinson Physician Network | 14202 S Padre Island Dr, Corpus Christi, TX 78418-6030 |
| Greggory N Angier | General Surgery | C H Wilkinson Physician Network | 1920 Galleria Oaks Dr, Texarkana, TX 75503-4619 |
| Street Address |
1 SAINT MARY PL |
| City | SHREVEPORT |
| State | LA |
| Zip | 71101-4343 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neelima Chintapalli | Hematology/oncology | C H Wilkinson Physician Network | 1 Saint Mary Pl, Shreveport, LA 71101-4343 |
| Audrey Rose Guillermo Lewkowitz | Physician Assistant | C H Wilkinson Physician Network | 1 Saint Mary Pl, Shreveport, LA 71101-4343 |
| Susan L Steen | Physician Assistant | Lsu Health Sciences Center-shreveport Faculty Group Practice | 1 Saint Mary Pl, Shreveport, LA 71101-4343 |
| Jode Jann Burgin | Family Medicine | C H Wilkinson Physician Network | 1 Saint Mary Pl, Shreveport, LA 71101-4343 |
| Lauren Janway Stanton | Physician Assistant | C H Wilkinson Physician Network | 1 Saint Mary Pl, Shreveport, LA 71101-4343 |
| Theresa Lynn Rinderle | Family Medicine | C H Wilkinson Physician Network | 1 Saint Mary Pl, Shreveport, LA 71101-4343 |
| Margo L Thomas | Family Medicine | C H Wilkinson Physician Network | 1 Saint Mary Pl, Shreveport, LA 71101-4343 |
| Julie Harrison | Physician Assistant | Lsu Health Sciences Center-shreveport Faculty Group Practice | 1 Saint Mary Pl, Shreveport, LA 71101-4343 |
| Erica Butler Roop | Physician Assistant | C H Wilkinson Physician Network | 1 Saint Mary Pl, Shreveport, LA 71101-4343 |
| Mary Mancini | Cardiac Surgery | C H Wilkinson Physician Network | 1 Saint Mary Pl, Shreveport, LA 71101-4343 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn E. Mcneil | Psychiatry | Wk Center for Psychiatric Support | 1111 Line Ave, Shreveport, LA 71101-3841 |
| Jason M Broussard | Psychiatry | Wk Center for Psychiatric Support | 1111 Line Ave, Shreveport, LA 71101-3841 |
| Kirsti N Peavy | Physician Assistant | Wk Center for Psychiatric Support | 1111 Line Ave, Shreveport, LA 71101-3841 |
| Arien M Ward | Psychologist, Clinical | Wk Center for Psychiatric Support | 1111 Line Ave, Shreveport, LA 71101-3841 |
| Devanshi Jani | Psychiatry | Wk Center for Psychiatric Support | 1111 Line Ave, Shreveport, LA 71101-3841 |
| Albert M Aura | Internal Medicine | 1111 Line Ave, Shreveport, LA 71101-3841 | |
| Jeffrey T Overdyke | Psychiatry | Wk Center for Psychiatric Support | 1111 Line Ave, Shreveport, LA 71101-3841 |
| Caleb Blair Harkins | Nurse Practitioner | Wk North Pulmonary and Critical Care | 1202 Louisiana Ave, Shreveport, LA 71101-3910 |
| Mark H Smith | General Surgery | Wk South Surgical Hospitalists | 1202 Louisiana Ave, Shreveport, LA 71101-3910 |
| Matthew C Raley | Internal Medicine | Wk North Pulmonary and Critical Care | 1202 Louisiana Ave, Shreveport, LA 71101-3910 |
| Find all physicians in zip 71101 | |||
| City | SHREVEPORT |
| Zip Code | 71101 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SHREVEPORT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Beau 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.