Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ethan George Brouillette

Individual provider Physician Assistant · NPI 1245956580

Ethan George Brouillette is a Physician Assistant in Nashville, Tennessee. Qualified in 2022, 4 years ago. Practices with Beaman Physician Services, PC, a 57-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
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Practice location Address checks out

3110 Windemere Cir
Nashville, TN 37214-1616
Phone: (262) 483-9269
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1245956580
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 18, 2022
Last updated in NPPESMarch 14, 2025
Certification dateMarch 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Beaman Physician Services, Pc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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