Jeremy William Brouillette, D.P.M.
NPI 1477969806ActiveIndividual· Podiatrist· Southlake, TX
Podiatrist (D.P.M.) with Foot and Ankle Specialists of the Mid-Atlantic LLC and 2 other groups, practicing in Southlake, Texas. Part D covered 193 prescriptions written in 2024, 99% of them generic.
Overview
| NPI | 1477969806 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.P.M. |
| Sole proprietor | Yes |
| NPI issued | Jul 7, 2014 |
| Last updated in NPPES | Mar 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | 692085 | TX |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | 10448 | WV |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | 0103301199 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Podiatry (DC); Practitioner - Podiatry (VA); Practitioner - Podiatry (WV) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 193 · 205 30-day fills |
|---|---|
| Patients | 109 |
| Total drug cost | $2,435 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Podiatry |
Medical groups
- Foot and Ankle Specialists of the Mid-Atlantic LLCWake Forest, NC · 159 clinicians
- Healthdrive Podiatry Group PCBrookfield, WI · 106 clinicians
- Foot and Ankle Clinic of the Virginias IncBlacksburg, VA · 12 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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