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

Benjamin Dylan Fowler

Individual provider Pediatrics Physician · NPI 1194427179

Benjamin Dylan Fowler is a Pediatric Medicine in Boston, Massachusetts. Graduated from Vanderbilt University School of Medicine in 2023, 3 years ago. Licensed in Massachusetts.

Years since qualifying
3
Trained at
Vanderbilt University School of Medicine
Licensed in
MA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-8241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 1026576 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1194427179
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 21, 2023
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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