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

Ryan Matthew O'Gowan, PA-C

Individual provider Physician Assistant · NPI 1184659385

Ryan Matthew O'Gowan, PA-C is a Physician Assistant in Brockton, Massachusetts. Qualified in 2000, 26 years ago. Practices with Signature Healthcare Medical Group Inc, a 248-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and Massachusetts.

Years since qualifying
26
Licensed in
CT, MA
In the registry since
2006
Specialties on file
2
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

680 Centre St
Brockton, MA 02302-3308
Phone: (508) 941-7310
Fax: (508) 941-6339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 123 Summer St, Worcester, MA 01608-1216 — (508) 207-7600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1163 (MA)
Physician Assistant Taxonomy 363A00000X · Licence 001528 (CT)

Record details

NPI number1184659385
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Signature Healthcare Medical Group Inc — 248 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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