BRYAN WOODWARD (PA-C) – Medical Physician Assistant, NPI 1639762701

BRYAN WOODWARD (PA-C) is a healthcare provider. based in Somerville, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA8514 (MA). The NPI Number for BRYAN WOODWARD (PA-C) is 1639762701

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
BRYAN WOODWARD (PA-C)
NPI
1639762701
Phone
(617) 780-9930
Address
66 PARTRIDGE AVE
Enumeration Date
18 February 2021
Last Update Date
23 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9592167305
Graduation Year
2021 (5 years ago)
PAC ID
3375938111
Group Practice PAC ID
0042217507
Professional Enrollment ID
I20220315000846
Address ID
MA019011314LY269XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for BRYAN WOODWARD (PA-C)

  • 66 PARTRIDGE AVE

    SOMERVILLE, MA 021453628

    Phone: (617) 780-9930

    Type: Mailing

  • 269 UNION ST

    LYNN, MA 019011314

    Phone: (781) 581-3900

    Type: Location

  • 73 BUFFUM ST

    LYNN, MA 019023965

    Phone: (781) 691-9486

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $220.

Total Amount is formed as General ($220) + Research ($0) + Ownership ($0) = $220.

Last reported payment date: 2024-03-20 • Largest payer in this snapshot: ViiV Healthcare Company ($125).

Total Amount

$220

General + Research + Ownership

Payments

2

Total payment records

General Amount

$220

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-03-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220315000846IPhysician AssistantMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02145)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042217507View full group profile
NameSpecialtyState
Physician AssistantMA
-MA
-MA
Family PracticeMA
Family PracticeMA
Clinical Social WorkerMA
Nurse PractitionerMA
Mental Health CounselorMA
Physician AssistantMA
Family PracticePA

Reviews

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Frequently asked questions

Does BRYAN WOODWARD (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — BRYAN WOODWARD (PA-C) uses 1639762701.
Is BRYAN WOODWARD (PA-C) listed as active for patients and plans?
The listing shows BRYAN WOODWARD (PA-C) as active in the NPI system.
What is BRYAN WOODWARD (PA-C)'s specialty?
The listing groups BRYAN WOODWARD (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does BRYAN WOODWARD (PA-C) list a practice location?
Patients near Somerville, Massachusetts may find BRYAN WOODWARD (PA-C) in results; validate coverage separately.
Is the information about BRYAN WOODWARD (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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