DR. DAVID L. BROUILLETTE, D.C., S.C.
NPI 1780735894
Chiropractor in Fredonia, WI
About Dr. David L. Brouillette, D.c., S.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAVID L. BROUILLETTE, D.C., S.C. (NPI 1780735894) is a healthcare organization registered as a chiropractor in Fredonia, Wisconsin and active in the NPI registry since January 2007. The organization lists David L. Brouillette, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. David L. Brouillette, D.c., S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr. David L. Brouillette, D.C., S.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Dr. David L. Brouillette, D.C., S.C.'s NPI number?
The NPI number for Dr. David L. Brouillette, D.C., S.C. is 1780735894. It was assigned to this organization in the NPPES registry on January 15, 2007.
Where is Dr. David L. Brouillette, D.C., S.C. located?
Dr. David L. Brouillette, D.C., S.C. is located at 511 Fredonia Ave, Fredonia, WI 53021. The listed phone number is (262) 692-6747.
What is Dr. David L. Brouillette, D.C., S.C.'s specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Dr. David L. Brouillette, D.C., S.C. enrolled in Medicare?
Yes. Dr. David L. Brouillette, D.C., S.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dr. David L. Brouillette, D.C., S.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Dr. David L. Brouillette, D.C., S.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Dr. David L. Brouillette, D.C., S.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. David L. Brouillette, D.c., S.c. · NPI 1780735894
Chiropractor organization in Fredonia, Wisconsin. Organization record, active in the CMS NPPES registry since January 15, 2007.
## Identity
- **NPI:** 1780735894 (Entity type: Organization)
- **Enumerated:** January 15, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** David Brouillette, PRESIDENT
## Practice location
- **Address:** 511 FREDONIA AVE, Fredonia, WI 53021-9406
- **Phone:** (262) 692-6747 · **Fax:** (262) 692-6547
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Other 1245234772 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1780735894) · Data from the CMS NPPES public registry.