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

Mr. Wynford Valentine Brome, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1245378462

Mr. Wynford Valentine Brome, PHYSICIANASSISTANT is a Physician Assistant in Worcester, Massachusetts. Qualified in 2013, 13 years ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
13
Licensed in
MA
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 334-5220
Fax: (774) 441-6790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 88 East Newton Street, Boston, MA 02118 — (617) 638-8776

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA955 (MA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 955 (MA)

Record details

NPI number1245378462
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedFebruary 1, 2007
Last updated in NPPESApril 20, 2022
Certification dateApril 20, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Umass Memorial Medical Group Inc — 2467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Worcester