National Provider Identifier

Brenda M Stout, PA-C

Brenda M Stout, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Brockport, NY and a listed phone number of (585) 368-6870.

NPI 1992773840Brockport, NYPhysician Assistant

Profile Overview

NPI
1992773840
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
March 08, 2006
Last Updated
February 05, 2026

Practice Location

  • 6668 Fourth Section RD
  • Brockport, NY 14420-2448

Phone: (585) 368-6870

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Physician Assistant (363A00000X)
  • Medical Physician Assistant (363AM0700X)

Endpoints

  • bspencer197210@direct.rochesterregional.org

    Direct Messaging Address | Direct | Other | Brockport, NY 14420

    Rochester Regional Health

Full Record
NPI
1992773840
Entity Type
Individual
Last Name
Stout
First Name
Brenda
Middle Name
M
Credential
PA-C
Provider Other Last Name
Spencer
Provider Other First Name
Brenda
Provider Other Middle Name
M
Provider Other Credential Text
PA-C
Provider Other Last Name Type Code
1
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Practice Street Address
6668 Fourth Section RD
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-2448
Practice Country
US
Practice Phone
(585) 368-6870
Practice Fax
(585) 368-6871
Enumeration Date
March 08, 2006
Last Updated
February 05, 2026
Sex
Female
Sole Proprietor
No
Certification Date
February 05, 2026
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Medical Physician Assistant (363AM0700X)
Other Identifiers
03081963 (NY)