Bradford J. Brouillette, PT
NPI 1861589350ActiveIndividual· Physical Therapist· Walla Walla, WA
Physical Therapist (PT) with Providence Health and Services - Washington, practicing in Walla Walla, Washington. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1861589350 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Oct 6, 2006 |
| Last updated in NPPES | Jan 11, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT00008159 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (WA) |
|---|
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Providence Health and Services - WashingtonWalla Walla, WA · 270 clinicians
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