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SAMUEL P BROUILLETTE C.P. C.F.O NPI 1982726634


NPI Information

NPI: 1982726634
Provider Name: SAMUEL P BROUILLETTE, C.P., C.F.O
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
1524 ELIZABETH AVE
CHARLOTTE, NC
ZIP 28204
Phone: (704) 334-1860
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Samuel P Brouillette, C.P., C.F.O is a specialist in Charlotte, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Samuel P Brouillette, C.P., C.F.O NPI is 1982726634. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1524 ELIZABETH AVE
CHARLOTTE, NC
ZIP 28204-509
Phone: (704) 334-1860
Fax: (704) 347-2785

The enumeration date for this NPI number is 4/4/2007 and was last updated on 7/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10141350005MEDICARE ID-TYPE UNSPECIFIEDOFFICE PROVIDER NUMBER
27795146MEDICAIDNORTH CAROLINA
37700566MEDICAIDNORTH CAROLINA
47795145MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.