Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark Leonard Brandon, MD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1649423146

Dr. Mark Leonard Brandon, MD is an Orthopedic Surgery in Staten Island, New York. Graduated from Columbia University College of Physicians and Surgeons in 2003, 23 years ago. Practices with Amboy Medical Practice PC, a 173-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
23
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
NJ, NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11 Ralph Pl Ste 102
Staten Island, NY 10304-4401
Phone: (718) 447-6545
Fax: (718) 447-5297
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 238123 (NY)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence 25MA08490300 (NJ)

Record details

NPI number1649423146
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 28, 2008
Last updated in NPPESApril 4, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2003 (23 years in practice)
Group practice Amboy Medical Practice Pc — 173 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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