Stephen C. Brendese, M.P.A-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1071318 Issued in NY

Practice address

989 Route 146
BLDG 200
Clifton Park, NY 12065-3646

Phone

(518) 383-0891

Fax

(518) 383-1662

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Glens Falls Hospital Inc.

  • Family Medicine Physician
  • Glens Falls, NY
  • NPI 1336198217
  Medicare reassignment
• Medical Pain Management Services, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Albany, NY
  • NPI 1215981261
  Medicare reassignment
• Glens Falls Hospital Inc

  • Community/Retail Pharmacy
  • Glens Falls, NY
  • NPI 1619990991
  NPD
• Capital Cardiology Associates PLLC

  • Cardiovascular Disease Physician
  • Albany, NY
  • NPI 1518952332
  NPD (past)
• Community Care Physicians, PLLC

  • Family Medicine Physician
  • Ballston Spa, NY
  • NPI 1548541246
  NPD (past)
• Sand Creek Medical PC

  • Specialist
  • Albany, NY
  • NPI 1275624900
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1336202043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD STE 203",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102461",
            "telephone_number": "518-782-3700",
            "fax_number": "518-782-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 ROUTE 146",
            "address_2": "BLDG 200",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653646",
            "telephone_number": "518-383-0891",
            "fax_number": "518-383-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENDESE",
        "first_name": "STEPHEN",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "M.P.A-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "1071318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03455956",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Nicole Boyd, OTR/L
• Michael Patrick Boylan, DC
• Brad Elliott DC PC
• Cassi Brancato, DPT
• Ashley Bray, PT, DPT
• Ellen A. Brignola, NP
• Stacy Brinson, LMSW
• Savannah Rose Bronson
• Elinor Sheila Brook, LCSW-R
• Diane B Brown, RPH

• Physician Assistant in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.