Brandon Bonanno
NPI 1518750397ActiveIndividual· Physician Assistant· Stony Brook, NY
Physician Assistant with New York Spine and Brain Surgery, University Faculty Practice Corporat, practicing in Stony Brook, New York. Enrolled in Medicare as practitioner - physician assistant. Lists Suny/Stony Brook University Hospital as a hospital affiliation.
Overview
| NPI | 1518750397 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | May 26, 2025 |
| Last updated in NPPES | Sep 4, 2025 |
| Certified by provider | Sep 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NY) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- New York Spine and Brain Surgery, University Faculty Practice CorporatStony Brook, NY · 57 clinicians
Hospital affiliation
- Suny/Stony Brook University HospitalStony Brook, NY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 130 physician assistants in Stony Brook · All physician assistants in New York