Individual provider Active NPI

Hunter Brandwen, PA-C, ATC

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1962028506
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
029292 Issued in NY
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

Updated by the provider on Nov 13, 2025

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230321001024 NY Practitioner - Physician Assistant 0941674667 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.27 of 100Reported as group
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

LicenseStateTypeSpecialty
0370759NYMDAthletic Trainer
029292NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen J Nicholas MD PC CurrentSince Mar 20, 2023 Accepting new patients
Stephen J Nicholas MD PC CurrentSince Mar 20, 2023 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

  • Direct secure messaging: hbrandwen69969@northwell.direct-ci.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.