Individual provider Active NPI

Nathaniel James Brochu, P.A.

  • Physician Assistant
  • Rochester, NY
National Provider Identifier
1861585309
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
400 Red Creek Dr Ste 120
Rochester, NY 14623-4273
Phone
(585) 334-5560
Fax
(585) 334-5603
NPI assigned
Oct 2, 2006
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

400 Red Creek Dr Ste 120
Rochester, NY 14623-4273

Mailing address

400 Red Creek Dr Ste 120
Rochester, NY 14623-4273
Phone (585) 334-5560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070517000138 NY Practitioner - Physician Assistant 1658478110 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester Brain and Spine Group PLLCGroup PAC ID 6507160215, 6 clinicians

Practice addresses (Care Compare)

400 International Dr
Buffalo, NY 14221-5760

400 International Dr
Williamsville, NY 14221-5771
Phone (716) 631-3555

400 Red Creek Dr
Suite 120
Rochester, NY 14623-4273
Phone (585) 334-5560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
011532NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brain & Spine Medical Services PLLC Physician Assistant CurrentSince Apr 4, 2022 Accepting new patients
Trinity Medical Wny PC Past Accepting new patients
Glens Falls Hospital Inc Past Accepting new patients
North Country Neurosurgical Associates PC Past Accepting new patients

Locations

400 International Dr
Williamsville, NY 14221
Phone (716) 631-1516

Interoperability endpoints

  • Direct secure messaging: nbrochu@rochesterbrainandspine.medentdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1861585309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RED CREEK DR STE 120",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146234273",
            "telephone_number": "585-334-5560",
            "fax_number": "585-334-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RED CREEK DR STE 120",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146234273",
            "telephone_number": "585-334-5560",
            "fax_number": "585-334-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCHU",
        "first_name": "NATHANIEL",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.