Robert T. Brouillette, M.D., Inc.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

ROBERT T. BROUILLETTE, M.D., INC.

Practice address

2001 Union St Ste 495
San Francisco, CA 94123-4128

Phone

(415) 351-2227

NPI assigned

May 28, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Barbara Wichmann

Title

Manager

Phone

(415) 351-2227

Specialties & licenses 3

Addresses

Tax ID family

Choice Telemed3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Choice Telemed

  • Neurology Physician
  • San Francisco, CA
  • NPI 1316187180
  NPD tax ID
• Choice Telemed

  • Radiological Physics Physician
  • San Francisco, CA
  • NPI 1447497979
  NPD tax ID

Locations

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1114152550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 UNION ST STE 495",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941234128",
            "telephone_number": "415-351-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 UNION ST STE 495",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941234128",
            "telephone_number": "415-351-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT T. BROUILLETTE, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "WICHMANN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "415-351-2227",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Liss, PH.D., Inc.
• Robert Purchase MD Inc.
• Robert S. Hausner M.D., Professional Corporation
• Robert Savala MD Interventional Pain Management Corp
• Robert Savala MD, Interventional Pain MGMT Corp
• Evelyn Robert, L. AC., DIPL. AC.
• Stephane Paul Robert, PT, DPT
• Tyler Mark Robert
• Deborah Roberto, PH.D.
• Mary Liesel Roberts Derfield, MFT

• Neurology Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.