Individual provider Active NPI

Daniel Brouillette

  • Medical Physician Assistant
  • Portland, ME
National Provider Identifier
1982288056
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA2211 Issued in ME
Practice address
33 Sewall St
Portland, ME 04102-2638
Phone
(207) 828-2100
Fax
(207) 553-7166
NPI assigned
May 5, 2021
Sex
Male
Sole proprietor
No

Organizations & group practices 10

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 4

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

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Associates of Maine PA 52 clinicians

Practice addresses (Care Compare)

175 Fore River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3057

33 Sewall St
Portland, ME 04102-2603
Phone (207) 828-2101

Hospital & facility affiliations

  • Northern Light Mercy Hospital Hospital, Portland, ME, CCN 200008
  • Mainehealth Stephens Hospital Hospital, Norway, ME, CCN 201315
  • Mainehealth Franklin Hospital Hospital, Farmington, ME, CCN 201316

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210907002122 ME Practitioner - Physician Assistant 4486050051 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2211MEMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Aug 30, 2021 Accepting new patients
Orthopaedic Associates of Maine PA CurrentSince Jun 29, 2025 Accepting new patients
Mainehealth CurrentSince Aug 30, 2021 Accepting new patients
Maine Medical Partners CurrentSince Aug 15, 2022 Accepting new patients
Orthopaedic Associates of Maine PA CurrentSince Jun 29, 2025 Accepting new patients
Maine Medical Partners CurrentSince Aug 15, 2022 Accepting new patients
Orthopaedic Associates of Maine PA Past Accepting new patients

Locations

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

33 Sewall St
Portland, ME 04102
Phone (207) 772-0076

100 Campus Dr
Unit 107
Scarborough, ME 04074
Phone (207) 396-7565

4 Commons Ave
Ste A
Windham, ME 04062
Phone (207) 893-1738

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: daniel.brouillette@direct.spectrumhcp.nextgenshare.com

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA2211 ME Primary

Addresses

Primary practice location

33 Sewall St
Portland, ME 04102-2638

Mailing address

33 Sewall St
Portland, ME 04102-2638
Phone (207) 828-2100

Other practice location 1

14 Thomas Point Rd
Brunswick, ME 04011-3911
Phone (207) 828-2100

Other practice location 2

22 Station Ave Ste 201
Brunswick, ME 04011-2092
Phone (207) 828-2100

Other practice location 3

4 Commons Ave Ste A
Windham, ME 04062-5554
Phone (207) 828-2100

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1982288056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 SEWALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022638",
            "telephone_number": "207-828-2100",
            "fax_number": "207-553-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 SEWALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022638",
            "telephone_number": "207-828-2100",
            "fax_number": "207-553-7166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Thomas Point Rd",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040113911",
            "country_code": "US",
            "telephone_number": "207-828-2100",
            "fax_number": "207-553-7166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 Station Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040112092",
            "country_code": "US",
            "telephone_number": "207-828-2100",
            "fax_number": "207-553-7166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Commons Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Windham",
            "state": "ME",
            "postal_code": "040625554",
            "country_code": "US",
            "telephone_number": "207-828-2100",
            "fax_number": "207-553-7166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROUILLETTE",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-05",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ME",
            "license": "PA2211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.