Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. DAVID L BROUILLETTE D.C.
NPI 1245234772
Chiropractor in Fredonia, WI

Active since June 13, 2005
511 FREDONIA AVE, FREDONIA, WI 53021(262) 692-6747(262) 692-6547 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. David L Brouillette D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID L BROUILLETTE D.C. (NPI 1245234772) is an individual chiropractor in Fredonia, Wisconsin, licensed in Wisconsin (2907) and active in the NPI registry since June 2005. He is a graduate of Palmer College Chiropractic - Davenport (1992).

NPPES Registry Identity

NPI1245234772
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. DAVID L BROUILLETTECredential: D.C.
Location Address511 FREDONIA AVEFredonia, WI 53021-9406
Mailing AddressN5479 Loraine DrFredonia, WI 53021-9779 · (262) 692-6748
Fax(262) 692-6547
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1992
Enumeration DateJune 13, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1245234772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WI · 2907
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

511 FREDONIA AVE, Fredonia, WI 53021

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. David L Brouillette D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416043013
PECOS Enrollment IDI20071012000086

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
173 services35 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
511 FREDONIA AVE
FREDONIA, WI 53021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Brouillette's NPI number?

The NPI number for David Brouillette is 1245234772. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is David Brouillette located?

David Brouillette practices at 511 Fredonia Ave, Fredonia, WI 53021. The listed phone number is (262) 692-6747.

What is David Brouillette's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is David Brouillette enrolled in Medicare?

Yes. David Brouillette is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for David Brouillette was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.