Individual provider · Type 1 NPI

Brett Genenbacher, PA-C

Medical Physician Assistant · Quincy, IL

NPI number 1467074401 Active

Practice location

927 Broadway St Ste 201
Quincy, IL 62301-2726

Fax (217) 223-9045

Mailing address

1005 Broadway St
Quincy, IL 62301-2834

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X2024028120 (MO)
Medical Physician Assistant Primary 363AM0700X085008555 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1467074401

Brett Genenbacher, PA-C's National Provider Identifier is 1467074401, issued on May 13, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Quincy, IL. The record was last updated on Sep 21, 2026.