Active NPI
Brian Tucker Droullard, COTA
- Occupational Therapy Assistant
- Dubuque, IA
National Provider Identifier
1427666452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 097684
- Practice address
- 3485 Windsor Ave
Dubuque, IA 52001-1329 - Phone
- (563) 557-7180
- NPI assigned
- Jul 15, 2020
- Last updated
- Jul 15, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 097684 | IA | Primary |
Addresses
Primary practice location
3485 Windsor Ave
Dubuque, IA 52001-1329
Mailing address
412 Garfield St SW
Cascade, IA 52033-9630
Phone (563) 599-7626
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 097684 | IA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1427666452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 GARFIELD ST SW",
"city": "CASCADE",
"state": "IA",
"postal_code": "520339630",
"telephone_number": "563-599-7626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3485 WINDSOR AVE",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520011329",
"telephone_number": "563-557-7180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DROULLARD",
"first_name": "BRIAN",
"middle_name": "TUCKER",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-15",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "IA",
"license": "097684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dubuque, IA
- Dr. Gene Noonan Inc
- Dr. Greg Hansen, P.C.
- Dr. Jen Peters PLLC
- Dale T Dreiling, MD
- Driftless Skin Center, P.C.
- Mary M Drury, ARNP
- Dubuque Anesthesia Services, PC (Same as Above)
- Dubuque Anesthesia Services, PC (Same as Above)
- Dubuque Community School District
- Dubuque County Hospital (Sunnycrest Manor)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.