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Active NPI 1700778446 Individual Practitioner Male Practitioner

Brandon James Formoza , PA-C

Physician Assistant • Potsdam, NY

Professional Overview & Biography Verified Profile Summary

Brandon Formoza, PA-C is a certified Physician Assistant practicing in Potsdam, NY. With approximately 1 years of clinical experience since completing medical education in 2025, Brandon Formoza delivers high-quality medical care to the local community at 50 LEROY ST.

Brandon Formoza does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

50 Leroy St

Potsdam, NY 136761786

Telephone 5852360373
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Potsdam, NY

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -9.6 yrs vs City Avg
City Avg: 10.6 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
34 Specialists

Practicing in Potsdam, NY (15701 Statewide)

Telehealth Adoption Rate
11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Formoza (1 Years) 1 Yrs
Potsdam Specialty Average (10.6 Years) 10.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-07-17
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 034031

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Locations

1 Hospital Dr

Massena, NY 136621056

Phone: 5852360373

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Julie Lawless , LCSW

Social Worker - Clinical

NPI 1003323593

Licensed Clinical Social Worker

NPI 1003331240

Doctor of Pharmacy (Pharm.D.), Registered Pharmacist

Heather Mackinnon

Physician Assistant

NPI 1023460607
Karyn Sullivan , PA

Emergency Medicine

NPI 1033220884

Physician Assistant

Coreen Bohl , MSW, LCSW, ACHP-SW

Social Worker - Clinical

NPI 1033645593

Master of Social Work, Licensed Clinical Social Worker, ACHPSW

Kelsey Miller

Pharmacist

NPI 1033748355

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 17, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location July 17, 2025

Registered at 50 LEROY ST, POTSDAM, NY 136761786 (Tel: 5852360373)

📍
Updated Business Mailing Address July 17, 2025

Registered at 24 SOBER ST, NORFOLK, NY 136674147 (Tel: 3156637791)

👤
Provider Name / Credentials Updated July 17, 2025

Recorded as BRANDON FORMOZA, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2025

Physician Assistant (License #034031 in NY)

🟢
Initial NPI Registration & Enumeration July 17, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700778446
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2025
Last Update: July 17, 2025
Sole Proprietor: No

Mailing Address

24 Sober St

Norfolk, NY 136674147

Phone: 3156637791

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.