BRENTON PETTERSSON NP
NPI 1831683184
Nurse Practitioner - Pediatrics in Rochester, NY

Active since June 20, 2018
601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 275-5083(585) 275-0707 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 27, 2018, Jun 20, 2018 (2 updates tracked since 2018).

About Brenton Pettersson Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENTON PETTERSSON NP (NPI 1831683184) is an individual pediatrics provider in Rochester, New York, licensed in New York (382863) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1831683184
Entity TypeIndividualMale
Primary Taxonomy363LP0200X
Provider Legal NameBRENTON PETTERSSONCredential: NP
Location Address601 ELMWOOD AVERochester, NY 14642
Mailing Address601 Elmwood Ave Box 635Rochester, NY 14642-0001 · (585) 275-5083 · Fax (585) 275-0707
Fax(585) 275-0707
Sole ProprietorNo
Enumeration DateJune 20, 2018
Last NPPES UpdateJune 30, 20232 updates tracked since enumeration
NPI 1831683184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in NY · 382863
601 ELMWOOD AVE, Rochester, NY 14642

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brenton Pettersson's NPI number?

The NPI number for Brenton Pettersson is 1831683184. It was assigned to this individual provider in the NPPES registry on June 20, 2018.

Where is Brenton Pettersson located?

Brenton Pettersson practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 275-5083.

What is Brenton Pettersson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Brenton Pettersson was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.