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

Adrienne Stout

Individual provider Neurology Physician · NPI 1619430840

Adrienne Stout is a Neurology in Media, Pennsylvania. Graduated from Lake Erie College of Osteopathic Medicine, Bradenton in 2019, 7 years ago. Practices with Main Line Healthcare, a 1,153-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania and Vermont.

Years since qualifying
7
Trained at
Lake Erie College of Osteopathic Medicine, Bradenton
Licensed in
PA, VT
In the registry since
2019
Specialties on file
2

Practice location Address checks out

1088 W Balitmore Pike Ste 2104 Rhc 2
Media, PA 19063-5136
Phone: (484) 227-0130
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 Colchester Ave # Patrick5, Burlington, VT 05401-1473 — (802) 847-0000

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence OS024114 (PA)
Neurology Physician Taxonomy 2084N0400X · Licence 032.0134120 (VT)

Record details

NPI number1619430840
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 14, 2019
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024
Mailing address3803 W Chester Pike Ste 160, Newtown Square, PA 19073-2336

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, BRADENTON
Graduated 2019 (7 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Media