Active NPI
Bryce Andrew Stout, PA-C
- Physician Assistant
- Travelers Rest, SC
National Provider Identifier
1720920176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 6246
- Practice address
- 807 N Main St
Travelers Rest, SC 29690-1551 - Phone
- (864) 455-9790
- NPI assigned
- Apr 6, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 6246 | SC | |
| Physician Assistant | 363A00000X | 6246 | SC | Primary |
Addresses
Primary practice location
807 N Main St
Travelers Rest, SC 29690-1551
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prisma Health-Upstate
Practice addresses (Care Compare)
807 N Main St
Travelers Rest, SC 29690-1551
Phone (864) 834-5132
Hospital & facility affiliations
- Prisma Health Hillcrest Hospital
- Prisma Health North Greenville Ltach
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6246 | SC | MD | Mental Health Counselor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Simpsonville, SC
- NPI 1265988364
-
- General Acute Care Hospital
- Simpsonville, SC
- NPI 1417505694
-
- Long Term Care Hospital
- Travelers Rest, SC
- NPI 1427504554
Long-term care hospital
-
- General Acute Care Hospital
- Simpsonville, SC
- NPI 1447706569
-
- Sleep Disorder Diagnostic Clinic/Center
- Simpsonville, SC
- NPI 1982159877
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1720920176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 N MAIN ST",
"city": "TRAVELERS REST",
"state": "SC",
"postal_code": "296901551",
"telephone_number": "864-455-9790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOUT",
"first_name": "BRYCE",
"middle_name": "ANDREW",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-04-06",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "SC",
"license": "6246",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "6246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Travelers Rest, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.