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BRANT ALLEN BROUILLETTE
NPI 1467167742
Student in an Organized Health Care Education/Training Program in Goshen, IN

Active since January 20, 2023
58396 HEMMINGER DR, GOSHEN, IN 46528(574) 536-2070 Get Directions Write a Review

NPPES record last updated: January 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brant Allen Brouillette NPPES

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

BRANT ALLEN BROUILLETTE (NPI 1467167742) is an individual student in an organized health care education/training program in Goshen, Indiana and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1467167742
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRANT ALLEN BROUILLETTE
Location Address58396 HEMMINGER DRGoshen, IN 46528-9130
Mailing Address58396 Hemminger DrGoshen, IN 46528-9130 · (574) 536-2070
Phone(574) 536-2070
Sole ProprietorNo
Enumeration DateJanuary 20, 2023
NPPES CertifiedJanuary 20, 2023
✔ NPI 1467167742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
58396 HEMMINGER DR, Goshen, IN 46528
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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 Brant Brouillette's NPI number?

The NPI number for Brant Brouillette is 1467167742. It was assigned to this individual provider in the NPPES registry on January 20, 2023.

Where is Brant Brouillette located?

Brant Brouillette practices at 58396 Hemminger Dr, Goshen, IN 46528. The listed phone number is (574) 536-2070.

What is Brant Brouillette's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Brant Brouillette was last updated on January 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.