DR. DAVID L BROUILLETTE (D.C.) – Chiropractor, NPI 1245234772

DR. DAVID L BROUILLETTE (D.C.) is a healthcare provider. based in Fredonia, Wisconsin. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 2907 (WI). The NPI Number for DR. DAVID L BROUILLETTE (D.C.) is 1245234772

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID L BROUILLETTE (D.C.)
NPI
1245234772
Phone
(262) 692-6748
Address
N5479 LORAINE DR
Enumeration Date
13 June 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
2626926747
Graduation Year
1992 (34 years ago)
PAC ID
7416043013
Professional Enrollment ID
I20071012000086
Address ID
WI530219406FR511XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,617 CHIROPRACTIC in WI

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Provider Addresses for DR. DAVID L BROUILLETTE (D.C.)

  • Loraine Drive, Waubeka, Town of Fredonia, Ozaukee County, Wisconsin, 53021, United States

    FREDONIA, WI 530219779

    Phone: (262) 692-6748

    Type: Mailing

  • Fredonia Avenue, Fredonia, Ozaukee County, Wisconsin, 53021, United States

    FREDONIA, WI 530219406

    Phone: (262) 692-6747

    Fax: (262) 692-6547

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-10-12

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
I20071012000086IChiropracticWITBD

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
98941Chiropractic manipulative treatment, 3-4 spinal regions37454$0
View full utilization report →

Insurance plans in this area (ZIP 53021)

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Reviews

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Frequently asked questions

Does DR. DAVID L BROUILLETTE (D.C.) have a public NPI I can cite?
Public records show DR. DAVID L BROUILLETTE (D.C.) under NPI 1245234772.
Should I treat DR. DAVID L BROUILLETTE (D.C.) as an active provider?
Patients and plans typically see DR. DAVID L BROUILLETTE (D.C.) as active in the national extract.
What type of care does DR. DAVID L BROUILLETTE (D.C.) provide?
DR. DAVID L BROUILLETTE (D.C.)'s profile centers on Chiropractor. Clinical services aligned with this taxonomy classification.
What city is tied to DR. DAVID L BROUILLETTE (D.C.)?
The directory associates DR. DAVID L BROUILLETTE (D.C.) with Fredonia, Wisconsin. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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