Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DANIEL BROUILLETTE
NPI 1982288056
Physician Assistant - Medical in Portland, ME

Active since May 05, 2021PECOS Enrolled
22 BRAMHALL ST, PORTLAND, ME 04102(207) 807-6234 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 16, 2026, Aug 24, 2021, May 5, 2021 (3 updates tracked since 2021).

About Daniel Brouillette NPPES

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

DANIEL BROUILLETTE (NPI 1982288056) is an individual medical provider in Portland, Maine, licensed in Maine (PA2211) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1982288056
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDANIEL BROUILLETTE
Location Address22 BRAMHALL STPortland, ME 04102-3175
Mailing Address33 Sewall StPortland, ME 04102-2638 · (207) 828-2100 · Fax (207) 553-7166
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 5, 2021
Last NPPES UpdateJuly 16, 20263 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
NPI 1982288056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in ME · PA2211
22 BRAMHALL ST, Portland, ME 04102

Secondary Practice Locations 4

Location 14 Commons Ave Ste AWindham, ME 04062-5554 · Phone (207) 828-2100 · Fax (207) 553-7166
Location 222 Station Ave Ste 201Brunswick, ME 04011-2092 · Phone (207) 828-2100 · Fax (207) 553-7166
Location 333 Sewall StPortland, ME 04102-2638 · Phone (207) 828-2100 · Fax (207) 553-7166
Location 414 Thomas Point RdBrunswick, ME 04011-3911 · Phone (207) 828-2100 · Fax (207) 553-7166

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

Daniel Brouillette 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 ID4486050051
PECOS Enrollment IDI20210907002122
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northern Light Health

Acute Care Hospitals · Portland, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200008
Location144 State StreetPortland, ME 04101 · Cumberland County
Emergency services Birthing friendly

Stephens Memorial Hospital

Critical Access Hospitals · Norway, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201315
Location181 Main StreetNorway, ME 04268 · Oxford County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Physician Assistant (Medical)
22 BRAMHALL ST
PORTLAND, ME 04102
Dietitian, Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Anesthesiology
22 BRAMHALL ST
PORTLAND, ME 04102
Nurse Anesthetist, Certified Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102

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 Daniel Brouillette's NPI number?

The NPI number for Daniel Brouillette is 1982288056. It was assigned to this individual provider in the NPPES registry on May 5, 2021.

Where is Daniel Brouillette located?

Daniel Brouillette practices at 22 Bramhall St, Portland, ME 04102. The listed phone number is (207) 807-6234.

What is Daniel Brouillette's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Daniel Brouillette enrolled in Medicare?

Yes. Daniel 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.

Is Daniel Brouillette affiliated with any hospitals?

According to CMS data, Daniel Brouillette is affiliated with Northern Light Health and Stephens Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Brouillette was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.