Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bryan Clifton Stout, PA-C

Individual provider Physician Assistant · NPI 1871890129

Bryan Clifton Stout, PA-C is a Physician Assistant in Chicago, Illinois. Licensed in Illinois and Indiana. Registered with an NPI since 2011.

Licensed in
IL, IN
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

7531 S Stony Island Ave
Chicago, IL 60649-3954
Phone: (773) 947-7500
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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 085003977 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 10001402A (IN)

Record details

NPI number1871890129
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 23, 2011
Last updated in NPPESApril 5, 2022
Certification dateApril 5, 2022

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