DR. JOHN R BROUILLETTE (MD) – Nephrology Physician, NPI 1821056318

DR. JOHN R BROUILLETTE (MD) is a healthcare provider. based in Vestavia hills, Alabama. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 18202 (AL). The NPI Number for DR. JOHN R BROUILLETTE (MD) is 1821056318

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN R BROUILLETTE (MD)
NPI
1821056318
Phone
(205) 226-5900
Address
1770 INDEPENDENCE CT
Enumeration Date
3 May 2006
Last Update Date
30 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
2052265900
Graduation Year
1993 (33 years ago)
PAC ID
6002000155
Group Practice PAC ID
1557330859
Professional Enrollment ID
I20101102001025
Address ID
AL352161834VE1909XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

194 NEPHROLOGY in AL

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Provider Addresses for DR. JOHN R BROUILLETTE (MD)

  • 1770 INDEPENDENCE CT

    VESTAVIA HILLS, AL 352161259

    Phone: (205) 226-5900

    Fax: (205) 226-5937

    Type: Mailing

  • 35, Lakeshore Drive, Lake Shore Estates, Homewood, Jefferson County, Alabama, 35209, United States

    HOMEWOOD, AL 352097253

    Phone: (205) 226-5900

    Fax: (205) 226-5937

    Type: Mailing

  • 2700 ROGERS DR STE 102

    HOMEWOOD, AL 352092018

    Phone: (205) 226-5900

    Fax: (205) 226-5937

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $77.

Total Amount is formed as General ($77) + Research ($0) + Ownership ($0) = $77.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Fresenius USA Marketing, Inc. ($58).

Total Amount

$77

General + Research + Ownership

Payments

4

Total payment records

General Amount

$77

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-11-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101102001025INephrologyALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)1,06013$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes490173$0
99214Established patient office or other outpatient visit, 30-39 minutes199141$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes17995$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)11218$0
View full utilization report →

Insurance plans in this area (ZIP 35216)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557330859View full group profile
NameSpecialtyState
Nurse PractitionerAL
N E P H R O L O G YAL
Nurse PractitionerAL
N E P H R O L O G YAL
-AL
N E P H R O L O G YAL
-AL
N E P H R O L O G YAL
Internal MedicineAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JOHN R BROUILLETTE (MD)?
DR. JOHN R BROUILLETTE (MD) — NPI 1821056318 — is the standard way to identify this listing.
Is DR. JOHN R BROUILLETTE (MD) listed as active for patients and plans?
The listing shows DR. JOHN R BROUILLETTE (MD) as active in the NPI system.
What taxonomy line describes DR. JOHN R BROUILLETTE (MD)?
For research purposes, treat DR. JOHN R BROUILLETTE (MD) as Nephrology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. JOHN R BROUILLETTE (MD) based?
DR. JOHN R BROUILLETTE (MD) is tied to Vestavia Hills, Alabama in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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