| Doctor Name: | RICHARD JAMES BROUILLETTE |
| NPI Number: | 1063626836 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | H0070918 |
| Business Practice Address: | 3460 Old Washington Rd Suite 300 Waldorf, MD - 206023240 |
| Business Phone Number: | 3016451523 |
| Business Fax Number: | 3016456812 |
| Mailing Address: | Po Box 74166, CLEVELAND |
| State: | OH |
| Postal Code: | 441944166 |
| Phone Number: | 3016451523 |
| Fax Number: | 3016456812 |
| NPI Enumeration Date: | 05/10/2007 |
| NPI Last Update Date: | 03/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207LP2900X |
| License Number: | H0070918 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Anesthesiology |
| Taxonomy Specialization: | Pain Medicine |
| Taxonomy Definition: | An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |