Braeden Conlan, PA
NPI 1104379783 · Physician Assistant · Worcester, MA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Braeden Conlan, PA is a Physician Assistant provider in Worcester, MA (NPI 1104379783).
Provider details
- NPI number
- 1104379783
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA5962 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-07-29
- Last updated
- 2020-10-28
- Certified
- 2020-10-28
Frequently asked questions
- What is Braeden Conlan's NPI number?
- Braeden Conlan's National Provider Identifier (NPI) is 1104379783, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Braeden Conlan's specialty?
- Braeden Conlan is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Braeden Conlan located?
- Braeden Conlan's practice location on file with NPPES is 55 Lake Ave N, Worcester, MA 01655-0002.
- What is Braeden Conlan's phone number?
- The practice phone number listed in the NPPES registry for Braeden Conlan is (774) 443-7552.
- Does Braeden Conlan accept Medicare?
- Braeden Conlan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Braeden Conlan's NPI active?
- Yes — Braeden Conlan's NPI (1104379783) is active in the NPPES registry as of the last update on 2020-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.