Richard James Brouillette, DO

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

H0070918 Issued in MD

Practice address

3460 Old Washington Rd
Suite 300
Waldorf, MD 20602-3240

Phone

(301) 645-1523

Fax

(301) 645-6812

NPI assigned

May 10, 2007

Last updated

Jun 18, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Interventional Pain Management

Education

University of New England, College of Osteo Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Pain Management, LLCGroup PAC ID 0547246555, 38 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rbrouillette@treatingpain.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Pain Management, LLC

  • Interventional Pain Medicine Physician
  • Hagerstown, MD
  • NPI 1962463265

  DC

  Medicare reassignment Care Compare group NPD
• Physical Medicine Associates, LTD

  dba National Spine & Pain Centers

  • Interventional Pain Medicine Physician
  • McLean, VA
  • NPI 1003884560

  DC, MD

  Medicare reassignment NPD
• ASC Development Company, LLC

  • Ambulatory Surgical Clinic/Center
  • Waldorf, MD
  • NPI 1588962831
  Authorized official Same address or phone
• Physical Medicine Associates, LTD

  dba National Spine and Pain Centers

  • Interventional Pain Medicine Physician
  • Fairfax, VA
  • NPI 1316465461
  NPD
• ASC Development Company LLC

  • Ambulatory Surgical Clinic/Center
  • White Plains, MD
  • NPI 1114491073
  NPD (past)
• ASC Development Company, LLC

  • Ambulatory Surgical Clinic/Center
  • Bowie, MD
  • NPI 1225286354
  NPD (past)
• Center for Pain Management, LLC

  dba The Spine Center at the Center for Pain Management

  • Pain Clinic/Center
  • Rockville, MD
  • NPI 1386885119
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527

  Interventional Pain Medicine

  NPD (past)
• NSPC Surgery Center of Maryland LLC

  • Ambulatory Surgical Clinic/Center
  • Oxon Hill, MD
  • NPI 1346862869
  NPD (past)
• Physical Medicine Associates LTD

  • Clinical Laboratory Director (Non-physician)
  • Columbia, MD
  • NPI 1750840666
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1063626836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD",
            "address_2": "EXECUTIVE PLAZA 1, SUITE 501",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311002",
            "telephone_number": "301-645-1523",
            "fax_number": "301-645-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 OLD WASHINGTON RD",
            "address_2": "SUITE 300",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023240",
            "telephone_number": "301-645-1523",
            "fax_number": "301-645-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUILLETTE",
        "first_name": "RICHARD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MD",
            "license": "H0070918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rbrouillette@treatingpain.emadirect.md",
            "affiliation": "N",
            "address_1": "3460 Old Washington Rd",
            "address_2": "Suite 300",
            "city": "Waldorf",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206023240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Quintina Maria Briscoe, CCC-SLP
• Elana Michaela Brodsky
• Rachel Brooks
• Abrianna Lea Broomes, CRNP, FNP
• Alena Jeneale Broughton, LCSW-C
• Alexis Browder, P.T.
• Kimberly Patrice Brown-Gross, CRNP-PMH
• Brenda Brown
• Courtenay Brown, YACEP, E-RYT 500
• Crystal M Brown, MD

• Interventional Pain Medicine Physician in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Interventional Pain Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.