BRANDON LEE (NPI# 1326523382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326523382 |
| Entity Type | Individual |
| Full Name | BRANDON LEE |
| Credential | PA-C |
| Practice Address |
101 Hospital Rd Patchogue NY 11772-4897 |
| Mailing Address |
38 Hudson St Farmingdale NY 11735-3747 |
| Practice Telephone | 6316547100 |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2018-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
022637 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992358626 | Brandon Lee | Specialist/Technologist | 3502 Markley Creek Dr, Antioch, CA 94509-6287 | 2019-07-22 |
| 1477030567 | Brandon Ronald Lee | Optometrist | 2644 E Berry St., Fort Worth, TX 76105 | 2018-07-23 |
| 1518351600 | Brandon Chu Lee | Pediatrics | 2831 East George Bush Highway, Richardson, TX 75082-3561 | 2015-03-26 |
| 1669818118 | Brandon Lee | Counselor | 2629 Portland St, Apt 103, Los Angeles, CA 90007-2471 | 2013-05-10 |
| 1639426828 | Brandon Yongjo Lee | Acupuncturist | 3610 Gainesway Trce, Duluth, GA 30096-1739 | 2012-08-07 |
| 1043598238 | Brandon Michael Lee | Pharmacist | 10530 John W Elliott Dr Ste 100, Frisco, TX 75033-2014 | 2011-07-22 |
| 1720392228 | Brandon Scott Lee | Physical Therapist | 4020 Lonesome Rd, Mandeville, LA 70448-7085 | 2010-07-27 |
| 1720607476 | Brandon Lee | Student in an Organized Health Care Education/Training Program | 20 York St, Tompkins 226, New Haven, CT 06510-3220 | 2020-04-13 |
| 1598395394 | Brandon Lee | Behavior Technician | 21505 N 78th Ave, Suite 125, Peoria, AZ 85382-3356 | 2020-01-21 |
| 1962909366 | Brandon Lee | Student in an Organized Health Care Education/Training Program | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2018-04-11 |
| Street Address |
101 HOSPITAL RD |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772-4897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619523107 | Meghan Cabrera | Nurse Practitioner | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2019-08-12 |
| 1679049456 | Shannon Faith Landry | Physician Assistant | 101 Hospital Rd, Patchogue, NY 11772 | 2018-10-18 |
| 1306311600 | Adrian S Krueger | Physician Assistant | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2018-10-12 |
| 1043791882 | Kathryn Elizabeth Walton | Physician Assistant | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2018-08-28 |
| 1508346248 | Brookhaven Memorial Hospital Medical Center, Inc. | Emergency Medicine | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2018-08-21 |
| 1043799513 | Hospitalist Medicine Physicians of New York-tcg, PC | Internal Medicine | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2018-08-07 |
| 1013496579 | Courtney Bofinger | Physician Assistant | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2018-08-07 |
| 1366920993 | Hospitalist Medicine Physician of New York - Patchogue, PC | Internal Medicine | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2018-08-06 |
| 1750868824 | Michelle Wintjen | Nurse Practitioner | 101 Hospital Rd, Patchogue, NY 11772-4897 | 2018-07-23 |
| 1366937526 | Bryant M Williams | Physician Assistant | 101 Hospital Rd, Patchogue, NY 11772-4897 | 2018-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508346248 | Brookhaven Memorial Hospital Medical Center, Inc. | Emergency Medicine | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2018-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588129852 | Steve Lazo | Emergency Medicine | 3210 Greenpoint Ave, Long Island City, NY 11101-2010 | 2019-01-31 |
| 1730667734 | Lagrange Fire District | Emergency Medicine | 504 Freedom Plains Road, Poughkeepsie, NY 12603-2678 | 2018-08-01 |
| 1407217631 | Debonotropepamdpc | Emergency Medicine | 24 Charter Ave, Dix Hills, NY 11746-6447 | 2016-03-16 |
| 1699013946 | Medfirst Urgent Care | Emergency Medicine | 1751 Sheridan Dr, Tonawanda, NY 14223 | 2013-01-22 |
| 1356689855 | Medfirst Urgent Care, Pllc | Emergency Medicine | 3190 Niagara Falls Blvd, Amherst, NY 14228-1639 | 2013-01-18 |
| 1821341744 | Stat Medical Usa | Emergency Medicine | 1943 Vincent Ln, Syosset, NY 11791-9629 | 2012-10-16 |
| 1104132190 | Kildare Clarke | Emergency Medicine | 6 Hazelton Dr, White Plains, NY 10605-3805 | 2010-08-27 |
| 1659682219 | Mark Kenneth Ellis | Emergency Medicine | 2 5th Ave Apt 2d, New York, NY 10011-8832 | 2010-06-29 |
| 1497076806 | Jose Luis Romero | Emergency Medicine | 3636 Waldo Ave Apt 4n, Bronx, NY 10463-2256 | 2010-06-21 |
| 1619109121 | Matthew J. Krauthamer | Emergency Medicine | 16 Capri Ct, Dix Hills, NY 11746-6410 | 2009-08-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BRANDON LEE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.