Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brandon T Wolfenden, PA-C

Individual provider Emergency Medicine Physician · NPI 1336472182

Brandon T Wolfenden, PA-C is an Emergency Medicine Physician in Oswego, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2009
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

110 W 6th St
Oswego, NY 13126-2507
Phone: (315) 349-5511
Fax: (315) 349-5732
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 30 Broad St Fl 45, New York, NY 10004-2942 — (888) 663-6331

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 013588-1 (NY)
Emergency Medicine Physician Taxonomy 207P00000X · Licence P72949 (NY)
Physician Assistant Taxonomy 363A00000X · Licence P72949 (NY)

Record details

NPI number1336472182
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 11, 2009
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025

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