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

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