Individual provider Active NPI

Richard J Brouette, MD

  • Family Medicine Physician
  • Yuba City, CA
National Provider Identifier
1942299342
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G069457 Issued in CA
Practice address
426 Parkview Ave
Yuba City, CA 95993-5232
Phone
(530) 682-9640
Fax
(530) 751-9826
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G069457 CA Primary

Addresses

Primary practice location

426 Parkview Ave
Yuba City, CA 95993-5232

Mailing address

426 Parkview Ave Ste 1400
Yuba City, CA 95993-5232
Phone (306) 829-6405

Other identifiers 1

IdentifierTypeStateIssuer
00G694570MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20081209000790 CA Practitioner - Family Practice 4981765989 Practice locations: Yuba City, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Chicago College of Medicine and Surgery, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

426 Parkview Ave
Yuba City, CA 95993-5232
Phone (415) 713-4341

Hospital & facility affiliations

  • Sutter Care at Home Home health agency, Yuba City, CA, CCN 557785
  • Freedom Home Health and Hospice Care Services, Inc Home health agency, Marysville, CA, CCN 059685
  • Freedom Home Health and Hospice Care Services, Inc Hospice, Marysville, CA, CCN 751735
  • Adventist Health and Rideout Hospital, Marysville, CA, CCN 050133
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G069457CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rideout Memorial Hospital Past Accepting new patients
Whole Family Care Clinic Family Medicine PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 2

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1942299342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 PARKVIEW AVE STE 1400",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959935232",
            "telephone_number": "306-829-6405",
            "fax_number": "530-751-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 PARKVIEW AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959935232",
            "telephone_number": "530-682-9640",
            "fax_number": "530-751-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUETTE",
        "first_name": "RICHARD",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G069457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G694570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

Verify at the official NPI Registry.