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

Braeden W. Conlan, PA

Individual provider Physician Assistant · NPI 1104379783

Braeden W. Conlan, PA is a Physician Assistant in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2016.

Licensed in
MA
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (774) 443-7552
Fax: (774) 441-6086
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA5962 (MA)

Record details

NPI number1104379783
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 29, 2016
Last updated in NPPESOctober 28, 2020
Certification dateOctober 28, 2020

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