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

Kevin Michael Ryan, PA

Individual provider Surgical Physician Assistant · NPI 1548769524

Kevin Michael Ryan, PA is a Physician Assistant in Brockton, Massachusetts. Qualified in 2017, 9 years ago. Practices with Lahey Clinic Inc, a 1,372-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
9
Licensed in
MA
In the registry since
2018
Specialties on file
2
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

35 Pearl St Ste 200
Brockton, MA 02301-2866
Phone: (508) 588-8034
Fax: (508) 897-0475
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 41 Mall Rd, Burlington, MA 01805-2866 — (781) 744-8000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA7481 (MA)
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1548769524
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 6, 2018
Last updated in NPPESApril 18, 2023
Certification dateApril 18, 2023
Mailing address35 Pearl St Ste 100, Brockton, MA 02301-1195

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 Lahey Clinic Inc — 1372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Brockton