Active NPI
Hunter Brandwen, PA-C, ATC
- Physician Assistant
- Brooklyn, NY
National Provider Identifier
1962028506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 029292
- Practice address
- 615 Avenue C
Brooklyn, NY 11218-4101 - Phone
- (872) 231-3162
- Fax
- (702) 977-1496
- NPI assigned
- Jun 19, 2020
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 029292 | NY | Primary |
| Athletic Trainer | 2255A2300X | 0370759 | NY |
Addresses
Primary practice location
615 Avenue C
Brooklyn, NY 11218-4101
Mailing address
PO Box 22239
New York, NY 10087-0001
Phone (702) 899-0595
Other practice location 1
1419 Salt Springs Rd
Syracuse, NY 13214-1300
Phone (917) 821-8193
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.27 of 100
- Quality
- 66.64
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0370759 | NY | MD | Athletic Trainer |
| 029292 | NY | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen J Nicholas MD PC | Current | Accepting new patients | |
| Stephen J Nicholas MD PC | Current | Accepting new patients |
Locations
159 E 74th St
Fl 2
New York, NY 10021
Phone (212) 249-7790
2 Overhill Rd
Ste 310
Scarsdale, NY 10583
Phone (914) 725-6970
Interoperability endpoints
- hbrandwen69969@northwell.direct-ci.com
- hunter.brandwen.1@11998.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- New York, NY
- NPI 1316933872
-
- Physical Medicine & Rehabilitation Physician
- Edgewater, NJ
- NPI 1780080218
NY
-
- Durable Medical Equipment & Medical Supplies
- Scarsdale, NY
- NPI 1093517393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1962028506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22239",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100870001",
"telephone_number": "702-899-0595",
"fax_number": "702-977-1496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 AVENUE C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112184101",
"telephone_number": "872-231-3162",
"fax_number": "702-977-1496"
}
],
"practiceLocations": [
{
"address_1": "1419 Salt Springs Rd",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132141300",
"country_code": "US",
"telephone_number": "917-821-8193",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRANDWEN",
"first_name": "HUNTER",
"name_prefix": "Mr.",
"credential": "PA-C, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-19",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "029292",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "0370759",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.