IndividualActive
Brett Genenbacher, PA-C
NPI 1467074401 · Medical Physician Assistant · Quincy, IL
Provider details
- NPI number
- 1467074401
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 085008555 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
927 Broadway St Ste 201
Quincy, IL 62301-2726
Phone: (217) 214-6267
Fax: (217) 223-9045
Approximate (ZIP-level) locationGet directions
Mailing address
1005 Broadway St
Quincy, IL 62301-2834
Additional practice locations (1)
- 1005 Broadway StQuincy, IL 62301-2834Phone: (217) 223-1200Fax: (217) 277-8988
Registry dates
- Enumerated
- 2020-05-13
- Last updated
- 2026-02-25
- Certified
- 2026-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.