Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bryan H Fanjoy, PA-C

Individual provider Physician Assistant · NPI 1508361122

Bryan H Fanjoy, PA-C is a Physician Assistant in Boston, Massachusetts. Qualified in 2017, 9 years ago. Practices with Children's Hospital Radiology Foundation, Inc, a 58-clinician group. Licensed in Massachusetts.

Years since qualifying
9
Licensed in
MA
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA6490 (MA)

Record details

NPI number1508361122
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 26, 2018
Last updated in NPPESAugust 22, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Children'S Hospital Radiology Foundation, Inc. — 58 clinicians
Accepts Medicare assignment Not indicated

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