Individual provider Active NPI

Brandon Joseph Laventure, PA-C

  • Surgical Physician Assistant
  • Halfmoon, NY
National Provider Identifier
1396632725
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
034273 Issued in NY
Practice address
1768 Route 9
Halfmoon, NY 12065-2402
Phone
(518) 489-2663
NPI assigned
Jun 19, 2025
Last updated
Feb 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 034273 NY
Surgical Physician Assistant 363AS0400X 034273 NY Primary

Addresses

Primary practice location

1768 Route 9
Halfmoon, NY 12065-2402

Mailing address

121 Everett Rd
Albany, NY 12205-1474
Phone (518) 489-2663

Other practice location 1

1735 Route 9
Halfmoon, NY 12065-2421
Phone (518) 458-2000

Other practice location 2

156 Quaker Rd
Queensbury, NY 12804-1718
Phone (518) 458-2000

Other practice location 3

2 New Hampshire Ave Ste 200
Troy, NY 12180-1762
Phone (518) 458-2000

Other practice location 4

315 S Manning Blvd
Albany, NY 12208-1789
Phone (518) 454-1550

Other practice location 5

2 Palisades Dr
Albany, NY 12205-1438
Phone (518) 458-2000

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct
Direct Messaging Address payer.credentialing@sphp.com Direct
Direct Messaging Address payer.credentialing@sphp.com Direct
Direct Messaging Address payer.credentialing@sphp.com Direct

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
I20251020000900 NY Practitioner - Physician Assistant 8527556836 Reassigns benefits to 2 organizations

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
Orthopedicsny, LLPGroup PAC ID 6901898170, 115 clinicians

Practice addresses (Care Compare)

1735 Route 9
Halfmoon, NY 12065-2421
Phone (518) 525-2525

1768 Route 9
Halfmoon, NY 12065-2402
Phone (518) 489-2663

2 New Hampshire Ave
Troy, NY 12180-1764
Phone (518) 525-8220

2 Palisades Dr
Albany, NY 12205-1438
Phone (518) 458-2000

2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 271-3300

315 S Manning Blvd
Albany, NY 12208-1707
Phone (518) 525-1852

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
034273NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedicsny, LLP CurrentSince Apr 1, 2026 Accepting new patients
Orthopedicsny, LLP CurrentSince Apr 1, 2026 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. Physician Assistant CurrentSince Aug 25, 2025 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. Physician Assistant Past Accepting new patients

Locations

2 Palisades Dr
Albany, NY 12205

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

121 Everett Rd
Colonie, NY 12205

1735 Route 9
Halfmoon, NY 12065
Phone (518) 269-4690

1768 Route 9
Halfmoon, NY 12065

156 Quaker Rd
Queensbury, NY 12804
Phone (518) 793-2128

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

2 New Hampshire Ave
Ste 200
Troy, NY 12180
Phone (518) 274-1947

Interoperability endpoints

  • Direct secure messaging: blaventure4534731@direct.trinity-health.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1396632725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051474",
            "telephone_number": "518-489-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1768 ROUTE 9",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120652402",
            "telephone_number": "518-489-2663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1735 Route 9",
            "address_purpose": "LOCATION",
            "city": "Halfmoon",
            "state": "NY",
            "postal_code": "120652421",
            "country_code": "US",
            "telephone_number": "518-458-2000",
            "fax_number": "518-458-1524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "156 Quaker Rd",
            "address_purpose": "LOCATION",
            "city": "Queensbury",
            "state": "NY",
            "postal_code": "128041718",
            "country_code": "US",
            "telephone_number": "518-458-2000",
            "fax_number": "518-458-1524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 New Hampshire Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121801762",
            "country_code": "US",
            "telephone_number": "518-458-2000",
            "fax_number": "518-458-1524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 S Manning Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122081789",
            "country_code": "US",
            "telephone_number": "518-454-1550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Palisades Dr",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122051438",
            "country_code": "US",
            "telephone_number": "518-458-2000",
            "fax_number": "518-458-1524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVENTURE",
        "first_name": "BRANDON",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-19",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "034273",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "034273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP-Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2 New Hampshire Ave Ste 200",
            "city": "Troy",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121801762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP-Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2 Palisades Dr",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122051438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP-Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "156 Quaker Rd",
            "city": "Queensbury",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128041718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP-Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1735 Route 9",
            "city": "Halfmoon",
            "state": "NY",
            "country_code": "US",
            "postal_code": "120652421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Halfmoon, NY

Sources for this page

Verify at the official NPI Registry.