Adrian Cale Brouillette, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP10213 Issued in LA

Practice address

324 W Hale St
Lake Charles, LA 70601-8439

Phone

(337) 433-9177

NPI assigned

Sep 11, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1902389497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W HALE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018439",
            "telephone_number": "337-433-9177",
            "fax_number": "337-433-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W HALE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018439",
            "telephone_number": "337-433-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUILLETTE",
        "first_name": "ADRIAN",
        "middle_name": "CALE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP10213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Brockmeier, MPT
• James Earl Brooks, CRNA
• Sonya M Brooks, MA CCS SLP
• Brothers Health Solutions LLC
• Brothers Pharmacy LLC
• Alexandrea Mae Broussard
• Brandon Joseph Broussard, DPT
• Britni Broussard, MS
• Craig V Broussard, MD
• Dania Broussard, MHP

• Psychiatric/Mental Health Nurse Practitioner in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.