Individual provider · Type 1 NPI

Brenda M. Stout, PA-C

Physician Assistant · Brockport, NY

NPI number 1992773840 Active

Practice location

6668 Fourth Section Rd
Brockport, NY 14420-2448

Fax (585) 368-6871

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X005069 (NY)
Medical Physician Assistant 363AM0700X005069 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1992773840

Brenda M. Stout, PA-C's National Provider Identifier is 1992773840, issued on Mar 8, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Brockport, NY. The record was last updated on Feb 5, 2026.