DR. DOUGLAS E. BROUILLETTE (M.D.) – Gastroenterology Physician, NPI 1013982370
Gastroenterology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. DOUGLAS E. BROUILLETTE (M.D.)
8901, Indian Hills Drive, Omaha, Douglas County, Nebraska, 68114, United States
SUITE 200
OMAHA, NE 681144057
Phone: (402) 397-7057
Fax: (402) 397-6656
Mailing address matches the actual address.
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: 2005-09-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050921000560 | I | Gastroenterology | NE | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 68114)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | NE | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 34 | 33 |
| GASTROENTEROLOGY | NE | 45378 | Diagnostic examination of large bowel using an endoscope | 21 | 21 |
| GASTROENTEROLOGY | NE | 45385 | Removal of polyps or growths of large bowel using an endoscope | 110 | 110 |
| GASTROENTEROLOGY | NE | 96415 | Infusion of chemotherapy into a vein | 17 | 15 |
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