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

Alice Vaz Randor, PA-C

Individual provider Physician Assistant · NPI 1639111081

Alice Vaz Randor, PA-C is a Physician Assistant in Boston, Massachusetts. Qualified in 2003, 23 years ago. Practices with Brigham and Womens Physicians Organization Inc, a 2,916-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and Maryland.

Years since qualifying
23
Licensed in
MA, MD
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

75 Francis St
Boston, MA 02115-6110
Phone: (617) 732-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 123 Summer Street, Worcester, MA 01608-1320 — (508) 363-6025

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1686 (MA)
Physician Assistant Taxonomy 363A00000X · Licence C02846 (MD)
Physician Assistant Taxonomy 363A00000X · Licence 1686 (MA)

Record details

NPI number1639111081
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 11, 2006
Last updated in NPPESJuly 5, 2022
Certification dateJuly 5, 2022
Mailing address75 Francis St, Boston, MA 02115-6110

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Brigham And Womens Physicians Organization Inc — 2916 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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