Bruce Brouillette (NPI# 1194753913, PAC ID# 9739219593) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1194753913 |
| PAC ID by PECOS | 9739219593 |
| Professional Enrollment ID | I20100605000028 |
| Full Name | Bruce Brouillette |
| Address |
3312 N Market Shreveport LA 71107-4009 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 1978 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190111 | WILLIS KNIGHTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3312 N Market, Shreveport, LA 71107-4009 |
| Street Address |
3312 N MARKET |
| City | SHREVEPORT |
| State | LA |
| Zip | 71107-4009 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David W Hudson | Family Medicine | 3312 N Market, Shreveport, LA 71107-4009 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mason Mcgee | Physical Therapy | Fultz Physical Therapy and Joint Rehab LLC | 5795 N Market St, Suite 8, Shreveport, LA 71107-2527 |
| Christopher R Fultz | Physical Therapy | Fultz Physical Therapy and Joint Rehab LLC | 5795 N Market St, Suite 8, Shreveport, LA 71107-2527 |
| Jennifer Siskron Ogle | Physician Assistant | Healthcare Express LLP | 4526 Northport Blvd, Shreveport, LA 71107-2536 |
| Lindsey Marlowe Fortenberry | Nurse Practitioner | Healthcare Express LLP | 4526 Northport Blvd, Shreveport, LA 71107-2536 |
| Amy Michelle Cannon | Nurse Practitioner | Healthcare Express LLP | 4526 Northport Blvd, Shreveport, LA 71107-2536 |
| Lisa A Post | General Practice | David Raines Community Health Center, Inc. | 1625 David Raines Rd, Shreveport, LA 71107-5899 |
| Betty J Farmer | Nurse Practitioner | David Raines Community Health Center, Inc. | 1625 David Raines Rd, Shreveport, LA 71107-5899 |
| Blanca I Osorio | Psychiatry | David Raines Community Health Center, Inc. | 1625 David Raines Rd, Shreveport, LA 71107-5899 |
| Beth R Porter | Clinical Social Worker | 1434 Hawn Ave, Suite 8, Shreveport, LA 71107-6508 | |
| Patrick T Wheat | Psychiatry | Northwest Louisiana Human Services District | 1310 N Hearne Ave, Shreveport, LA 71107-6516 |
| Find all physicians in zip 71107 | |||
| City | SHREVEPORT |
| Zip Code | 71107 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SHREVEPORT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Bruce 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.