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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRUCE P. BROUILLETTE, MD

Active

BRUCE P. BROUILLETTE, MD is a Family Medicine healthcare provider located in SHREVEPORT, Louisiana. NPI 1194753913 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SHREVEPORT, LA

Registration Details

NPI Number
1194753913
Provider Type
Individual
Gender
Male
NPI Issued
Jun 29, 2006 (20.120398179757 yrs)
Last Updated
Jun 21, 2021
License
014566 (LA)

Practice Information

Address
3312 N MARKET ST
SHREVEPORT, LA, 711074009
Browse LA providers · Browse ZIP 71107
Phone
3182225270
Fax
3182214559
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in SHREVEPORT, LA

Name Credential NPI
DR. MICHAEL O FLEMING MD 1184627986
DR. EUGENE BENSON SCOTT II MD 1437153228
DR. MARION N CASH MD 1881699353
DR. RICKY L JONES MD 1598760076
SHERIN HANNA MERCER MD 1659376143
THERESA L RINDERLE MD 1083619589
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.