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

Brooke Gloria Devore

Individual provider Physician Assistant · NPI 1124813217

Brooke Gloria Devore is a Physician Assistant in Buffalo, New York. Qualified in 2025, 1 year ago. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2025
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Practice location Address checks out

2950 Elmwood Ave
Buffalo, NY 14217-1304
Phone: (585) 754-5626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 034546 (NY)

Record details

NPI number1124813217
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 10, 2025
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025
Mailing address61 Monterey Pkwy, Rochester, NY 14618-1815

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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