SAMUEL P BROUILLETTE C.P., C.F.O
NPI 1982726634
Specialist in Charlotte, NC

Q: What is Samuel Brouillette's NPI number?

The NPI number for Samuel Brouillette is 1982726634. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Q: What is Samuel Brouillette's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since April 04, 2007

1524 ELIZABETH AVE, CHARLOTTE, NC 28204(704) 334-1860(704) 347-2785 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Samuel P Brouillette C.p., C.f.o NPPES

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

SAMUEL P BROUILLETTE C.P., C.F.O (NPI 1982726634) is an individual specialist in Charlotte, North Carolina and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1982726634

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameSAMUEL P BROUILLETTECredential: C.P., C.F.O

Location Address1524 ELIZABETH AVECharlotte, NC 28204-2509

Mailing Address1279 Willowbreeze CtConcord, NC 28025-8975 · (980) 622-8266

Phone(704) 334-1860

Fax(704) 347-2785

Sole ProprietorNo

Enumeration DateApril 4, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1982726634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1524 ELIZABETH AVE, Charlotte, NC 28204

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Other Identifiers 4

Medicare ID-Type Unspecified0141350005Office Provider Number

Medicaid7795146NC

Medicaid7700566NC

Medicaid7795145NC

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 Samuel Brouillette's NPI number?

The NPI number for Samuel Brouillette is 1982726634. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is Samuel Brouillette located?

Samuel Brouillette practices at 1524 Elizabeth Ave, Charlotte, NC 28204. The listed phone number is (704) 334-1860.

What is Samuel Brouillette's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Samuel Brouillette was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.