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Dr. Brian Silver, MD

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(Dr. Brian Silver, M.D.)

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Specializes in: Vascular Neurology

McGill University Faculty of Medicine (1992)

Professional interests include: cerebrovascular disease, dementia, ischemic stroke, and more.

14 Prospect Street
Milford, MA 01757

(508) 334-2527

Dr. Brian Silver, MD is a vascular neurologist in WORCESTER, MA specializing in vascular neurology. He graduated from McGill University Faculty of Medicine in 1992 and has 34 years of experience. Dr. Brian Silver, MD is affiliated with UMass Memorial Medical Center and UMass Memorial Health.

Office Locations

55 LAKE AVENUE NORTH
WORCESTER, MA 01655

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UMass Memorial Health

14 Prospect Street
Milford, MA 01757

(508) 334-2527

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Some issues Dr. Brian Silver, MD can help you with:

Headache

Headaches are dull or sharp pains that occur in regions of the head and face. Headaches occur in many different forms and vary in location, severity, and duration. They are not necessarily a sign of an underlying illness and often resolve on their own. However, headaches can present significant day-to-day discomfort. The most common forms of headaches include:

Migraines: one of the most prevalent types of headache, migraines typically last from two hours to three days, causing a throbbing pain on one side of the head. Nausea, sensitivity to bright lights, fatigue, and blurred vision all may accompany migraines. While migraines have no known cure, medications and lifestyle modifications may ease symptoms. Avoiding behaviors that may trigger migraines such as lack of sleep or loud, repetitive noises can improve headaches.
Tension headaches: also known as stress headaches, these headaches are characterized by pain in the upper top part of the head and behind the eyes. Tension headaches are common and have no exact cause; however, certain practices may increase the likelihood of developing them. For example, wearing one's hair up in a tight hairstyle or wearing a restrictive hat can put pressure on the scalp, leading to a tension headache. Other causes of tension headaches may include alcohol or nicotine use, caffeine, teeth grinding, stress, overexertion, and eye strain. Some people find posture improvement, alternating sleeping positions, and neck exercise can alleviate tension headaches. Over-the-counter pain relievers such as ibuprofen (Advil, Motren) and naproxen sodium (Aleve) may also reduce tension-headache pain.
Sinus headaches: this type of headache causes pain in the sinuses, but may progress to pain and pressure in the eyes, forehead, and cheeks. These headaches are often accompanied by nasal congestion, fatigue, and ache in the upper teeth and may or may not be caused by sinus infections or sinusitis (sinus inflammation). Some sinus headaches are allergic headaches, which arise from allergic triggers such as seasonal allergies (pollen allergies) or hay fever, causing sinus pressure and facial pain. Other symptoms of allergic headaches include nasal congestion, irritated or watery eyes, runny nose, and sneezing. Allergic headaches may be treated with antihistamine medications such as cetirizine (Zyrtec). Allergic headaches are common during pollen season, which is usually around springtime.
Cluster headaches: these headaches occur suddenly and cause stabbing, sharp pain from one eye down to the one side of the neck. They are often referred to as the most aggravating and painful type of headaches. Other symptoms of cluster headaches include nasal congestion, droopy eyelid, and enlarged pupil on one side of the face. In the past, it was widely believed that cluster headaches were caused by a bevy or "cluster" of multiple types of headaches, such as a combination of an allergic headache and a tension headache. Medical experts now recognize that cluster headaches are a separate and unique form of headache. Cluster headaches last for around twenty minutes to two hours. They may recur throughout the period of a day or several weeks, but usually dissipate within a month. Treatment for cluster headaches includes over-the-counter pain medications such as ibuprofen (Advil, Motren) and naproxen sodium (Aleve). Prescription Prednisone can help with swelling and Verapamil may reduce pain by relaxing the blood vessels.

Living with headaches is challenging; headaches can prevent people from fully enjoying life. Medical treatment and care in avoiding certain triggers can help those with headaches begin to feel normal once again.

Ischemic Stroke

Ischemic stroke is the more common form of stroke and occurs when a blood vessel in the brain becomes blocked. Ischemic strokes are caused by blood clots or by built-up plaque (deposits of fat and cholesterol) in the arteries and are dangerous medical events that require immediate treatment.

Ischemic strokes are severe because it restricts blood flow and an inadequate blood supply damages the brain, which cannot function without a steady supply of oxygen and nutrients. Ischemic strokes may alter appearance by leaving one side of the face paralyzed, also affecting speech and communication. Additionally, ischemic strokes can result in impaired movement, cognitive ability, and can impede important physical functions like walking.

The main cause of ischemic stroke is from plaque (deposits of fat and cholesterol) accumulating in blood vessels. Plaque causes atherosclerosis, a condition where the blood vessels narrow and harden with cholesterol, fat, and calcium, causing damage to the endothelium (inner layer of cells in the arteries), which in turn restricts blood flow. At some point, a large blockage of plaque or bits of broken up plaque may result in an ischemic stroke.

People who are older are more likely to have ischemic strokes due to accumulated plaque. Additionally, certain repeated behaviors are associated with an increased risk of ischemic stroke. These behaviors include:

Smoking
High fat diet
Lack of exercise
High salt diet
Alcohol abuse

Conditions such as heart disease, diabetes, high blood pressure, and high levels of cholesterol and lipids are also known to be correlated with ischemic strokes. If possible, people are advised to avoid modifiable risk factors (factors one can change themselves) such as smoking and lack of exercise by keeping an active lifestyle and a healthy diet.

Signs of stroke include:

Disorientation or confusion
Difficulty speaking
Difficulty walking
Impaired vision
Weakness in the face, legs, or arms
Severe headaches

When someone suspected of having a stroke reaches the hospital, the patient will usually receive a CT or other scan that provides an image of the brain. The scan results can reveal clotted or leaking blood in the brain. Physical exams, neurological exams, and blood tests may also be used to check for blood clotting and sugar. Hospital treatment generally begins immediately if a stroke is detected.

Medical treatment for ischemic strokes includes a thrombolytic medicine which breaks up and disperses blood clots. This medicine can greatly improve stroke recovery and long-term health. However, the thrombolytic medicine must be administered as soon as possible to achieve these results. Other treatments for ischemic strokes are blood thinners and thrombectomy, a surgical procedure to remove a blood clot in the brain. Thrombectomy is performed using a catheter (thin needle) to the artery to reach the blood clot and mechanically remove it. With the clot removed, normal blood flow to the brain resumes. Thrombectomy is typically performed at most six hours after a patient shows signs of a stroke.

Ischemic stroke patients who have lost some essential functions while the blood flow to their brain was obstructed may receive post-stroke rehabilitation to rebuild their physical and mental abilities. Some restorative treatments include occupational, physical, and speech therapy. Patients may also receive care from neurologists, who can assist patients in recovering certain brain functions and cognitive abilities, and rehabilitation psychologists, who may help patients with their emotional, behavioral, and cognitive recovery. Some stroke patients require lengthy rehabilitation and may never fully regain function, while others may recover more quickly. While the fastest recovery improvements are usually seen in the first three or four months, ischemic stroke rehabilitation can last for years.

If someone begins to show signs of ischemic stroke, contact emergency services and call 9-1-1 immediately since blood flow must be restored as soon as possible to avoid significant brain damage. If an ambulance takes the person to the hospital, paramedics can initiate ischemic stroke treatment as soon as the patient enters the ambulance, allowing for more prompt medical intervention and care.

In The News (see more mentions in the news)

“said Dr. Brian Silver, vice chair of clinical operations in neurology at UMass Memorial Medical Center.”—"Alzheimer's drug wins FDA approval after studies show it slows the disease", Boston Globe, January 2023

“The results of advanced clinical studies of two more amyloid-reducing therapies are expected later this year from Roche, and early next year from Eli Lilly and Co. "Lecanemab clearly reduces...”—"Promising Alzheimer's drug provides second chance for Biogen, and a debated theory about the disease", Boston Globe, September 2022

“"For many of us, this is not surprising," Brian Silver, interim chair of the department of neurology at UMass Memorial Health, said in an e-mail.”—"Key elements of influential Alzheimer s study may have been fabricated, report says", Boston Globe, July 2022

Noteworthy Medicare Patient Procedures Performed by Dr. Brian Silver, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 25%

By Volume:

inpatient hospital care

In 2012, Dr. Brian Silver, MD performed more inpatient hospital care (for patient admitted to hospital) procedures for Medicare patients than 75% of providers in related specialties within Massachusetts.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Brian Silver, MD treated as a vascular neurologist in WORCESTER, MA during 2012 were ultrasound (sonogram), vascular procedures, hospital care and inpatient care.

Volume of procedures performed by Dr. Brian Silver, MD for Medicare patients.

doctor visit	137
hospital care	220
inpatient care	220
ultrasound (sonogram)	474
vascular procedures	474

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Brian Silver, MD treated as a vascular neurologist in WORCESTER, MA during 2013 were ultrasound (sonogram), vascular procedures, hospital care and inpatient care.

Volume of procedures performed by Dr. Brian Silver, MD for Medicare patients.

doctor visit	119
hospital care	368
inpatient care	368
ultrasound (sonogram)	416
vascular procedures	416

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Silver, MD.

**Gender**
Male	184
Female	232

**Ethnicity**
Non-Hispanic White	346
Black	33
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	127
From 75 to 84	111
85 and over	106
Less than 65	72

Conditions of Medicare patients treated by Dr. Brian Silver, MD in 2013

Hypertension	75
High Cholesterol	74
Stroke	62
Ischemic Heart Disease	56
Depression	40
Chronic Kidney Disease	38
Asthma	12
Osteoperosis	10
Atrial Fibrilation	24
Heart Failure	37
Chronic Obstructive Pulmonary Disease	21
Diabetes	44
Dementia	27
Cancer	14

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Brian Silver, MD treated as a vascular neurologist in WORCESTER, MA during 2014 were ultrasound (sonogram), vascular procedures, hospital care and inpatient care.

Volume of procedures performed by Dr. Brian Silver, MD for Medicare patients.

doctor visit	137
hospital care	341
inpatient care	341
ultrasound (sonogram)	546
vascular procedures	546

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Silver, MD.

**Gender**
Male	255
Female	282

**Ethnicity**
Non-Hispanic White	434
Black	29
Hispanic	53
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	170
From 75 to 84	148
85 and over	125
Less than 65	94

Conditions of Medicare patients treated by Dr. Brian Silver, MD in 2014

Hypertension	75
High Cholesterol	75
Stroke	61
Ischemic Heart Disease	54
Depression	41
Chronic Kidney Disease	41
Asthma	10
Osteoperosis	9
Atrial Fibrilation	23
Heart Failure	34
Chronic Obstructive Pulmonary Disease	21
Diabetes	44
Dementia	25
Cancer	14

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Brian Silver, MD treated as a vascular neurologist in WORCESTER, MA during 2015 were ultrasound (sonogram), vascular procedures, hospital care and inpatient care.

Volume of procedures performed by Dr. Brian Silver, MD for Medicare patients.

doctor visit	81
hospital care	351
inpatient care	333
outpatient care	18
ultrasound (sonogram)	412
vascular procedures	412

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Silver, MD.

**Gender**
Male	492
Female	438

**Ethnicity**
Non-Hispanic White	766
Black	44
Hispanic	82
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	334
From 75 to 84	288
85 and over	186
Less than 65	122

Conditions of Medicare patients treated by Dr. Brian Silver, MD in 2015

Hypertension	75
High Cholesterol	75
Stroke	63
Ischemic Heart Disease	55
Depression	38
Chronic Kidney Disease	41
Asthma	15
Osteoperosis	8
Atrial Fibrilation	23
Heart Failure	34
Chronic Obstructive Pulmonary Disease	21
Diabetes	40
Dementia	29
Cancer	13

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Brian Silver, MD treated as a vascular neurologist in WORCESTER, MA during 2016 were ultrasound (sonogram), vascular procedures, hospital care and inpatient care.

Volume of procedures performed by Dr. Brian Silver, MD for Medicare patients.

doctor visit	211
hospital care	339
inpatient care	326
outpatient care	13
ultrasound (sonogram)	364
vascular procedures	364

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Silver, MD.

**Gender**
Male	274
Female	272

**Ethnicity**
Non-Hispanic White	459
Black	22
Hispanic	38
Asian	11
Other	16
Native American	0

**Age**
From 65 to 74	222
From 75 to 84	146
85 and over	109
Less than 65	69

Conditions of Medicare patients treated by Dr. Brian Silver, MD in 2016

Hypertension	75
High Cholesterol	75
Stroke	71
Ischemic Heart Disease	61
Depression	39
Chronic Kidney Disease	45
Asthma	25
Osteoperosis	8
Atrial Fibrilation	28
Heart Failure	37
Chronic Obstructive Pulmonary Disease	19
Diabetes	40
Dementia	29
Cancer	15

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Brian Silver, MD treated as a vascular neurologist in WORCESTER, MA during 2017 were hospital care, inpatient care, ultrasound (sonogram) and vascular procedures.

Volume of procedures performed by Dr. Brian Silver, MD for Medicare patients.

doctor visit	129
hospital care	69
inpatient care	69
ultrasound (sonogram)	16
vascular procedures	16

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Silver, MD.

**Gender**
Male	109
Female	94

**Ethnicity**
Non-Hispanic White	175
Black	0
Hispanic	16
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	64
From 75 to 84	58
85 and over	42
Less than 65	39

Conditions of Medicare patients treated by Dr. Brian Silver, MD in 2017

Hypertension	75
High Cholesterol	69
Stroke	63
Ischemic Heart Disease	47
Depression	41
Chronic Kidney Disease	37
Asthma	8
Osteoperosis	7
Atrial Fibrilation	22
Heart Failure	25
Chronic Obstructive Pulmonary Disease	20
Diabetes	36
Dementia	31
Cancer	10

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Brian Silver, MD treated as a vascular neurologist in WORCESTER, MA during 2018 were hospital care, inpatient care and emergency care.

Volume of procedures performed by Dr. Brian Silver, MD for Medicare patients.

doctor visit	166
emergency care	23
hospital care	227
inpatient care	227

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Silver, MD.

**Gender**
Male	129
Female	151

**Ethnicity**
Non-Hispanic White	234
Black	0
Hispanic	23
Asian	0
Other	12
Native American	0

**Age**
From 65 to 74	97
From 75 to 84	70
85 and over	47
Less than 65	66

Conditions of Medicare patients treated by Dr. Brian Silver, MD in 2018

Hypertension	75
High Cholesterol	70
Stroke	54
Ischemic Heart Disease	46
Depression	50
Chronic Kidney Disease	48
Asthma	12
Osteoperosis	9
Atrial Fibrilation	26
Heart Failure	26
Chronic Obstructive Pulmonary Disease	20
Diabetes	40
Dementia	34
Cancer	10

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Brian Silver, MD treated as a vascular neurologist in WORCESTER, MA during 2019 were hospital care, inpatient care and emergency care.

Volume of procedures performed by Dr. Brian Silver, MD for Medicare patients.

doctor visit	117
emergency care	12
hospital care	173
inpatient care	173

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Silver, MD.

**Gender**
Male	110
Female	108

**Ethnicity**
Non-Hispanic White	188
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	64
From 75 to 84	75
85 and over	25
Less than 65	54

Conditions of Medicare patients treated by Dr. Brian Silver, MD in 2019

Hypertension	75
High Cholesterol	75
Stroke	51
Ischemic Heart Disease	54
Depression	52
Chronic Kidney Disease	50
Asthma	15
Osteoperosis	8
Atrial Fibrilation	23
Heart Failure	32
Chronic Obstructive Pulmonary Disease	21
Diabetes	43
Dementia	39
Cancer	11

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Brian Silver, MD treated as a vascular neurologist in WORCESTER, MA during 2020 were hospital care and inpatient care.

Volume of procedures performed by Dr. Brian Silver, MD for Medicare patients.

doctor visit	72
hospital care	250
inpatient care	250

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Silver, MD.

**Gender**
Male	119
Female	115

**Ethnicity**
Non-Hispanic White	188
Black	13
Hispanic	20
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	79
From 75 to 84	58
85 and over	42
Less than 65	55

Conditions of Medicare patients treated by Dr. Brian Silver, MD in 2020

Hypertension	75
High Cholesterol	75
Stroke	62
Ischemic Heart Disease	47
Depression	49
Chronic Kidney Disease	55
Asthma	11
Osteoperosis	9
Atrial Fibrilation	27
Heart Failure	31
Chronic Obstructive Pulmonary Disease	23
Diabetes	38
Dementia	32
Cancer	11

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Brian Silver, MD treated as a vascular neurologist in WORCESTER, MA during 2021 were hospital care and inpatient care.

Volume of procedures performed by Dr. Brian Silver, MD for Medicare patients.

doctor visit	120
hospital care	135
inpatient care	135

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Silver, MD.

**Gender**
Male	90
Female	117

**Ethnicity**
Non-Hispanic White	178
Black	0
Hispanic	13
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	73
From 75 to 84	62
85 and over	32
Less than 65	40

Conditions of Medicare patients treated by Dr. Brian Silver, MD in 2021

Hypertension	75
High Cholesterol	73
Stroke	61
Ischemic Heart Disease	44
Depression	39
Chronic Kidney Disease	49
Asthma	11
Osteoperosis	9
Atrial Fibrilation	22
Heart Failure	28
Chronic Obstructive Pulmonary Disease	16
Diabetes	38
Dementia	30
Cancer	12

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Brian Silver, MD treated as a vascular neurologist in WORCESTER, MA during 2022 were hospital care and inpatient care.

Volume of procedures performed by Dr. Brian Silver, MD for Medicare patients.

doctor visit	128
hospital care	144
inpatient care	144

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Silver, MD.

**Gender**
Male	110
Female	117

**Ethnicity**
Non-Hispanic White	192
Black	0
Hispanic	17
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	71
From 75 to 84	79
85 and over	40
Less than 65	37

Conditions of Medicare patients treated by Dr. Brian Silver, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	74
Ischemic Heart Disease	35
Depression	38
Chronic Kidney Disease	31
Asthma	9
Osteoperosis	16
Atrial Fibrilation	36
Heart Failure	29
Chronic Obstructive Pulmonary Disease	20
Diabetes	37
Dementia	26
Cancer	18

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Brian Silver, MD treated as a vascular neurologist in WORCESTER, MA during 2023 were hospital care and inpatient care.

Volume of procedures performed by Dr. Brian Silver, MD for Medicare patients.

doctor visit	90
hospital care	183
inpatient care	183

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian Silver, MD.

**Gender**
Male	116
Female	132

**Ethnicity**
Non-Hispanic White	206
Black	0
Hispanic	15
Asian	0
Other	13
Native American	0

**Age**
From 65 to 74	73
From 75 to 84	90
85 and over	51
Less than 65	34

Conditions of Medicare patients treated by Dr. Brian Silver, MD in 2023

Hypertension	75
High Cholesterol	75
Stroke	72
Ischemic Heart Disease	44
Depression	40
Chronic Kidney Disease	40
Asthma	11
Osteoperosis	17
Atrial Fibrilation	35
Heart Failure	33
Chronic Obstructive Pulmonary Disease	23
Diabetes	40
Dementia	28
Cancer	19

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2023

Volume of procedures performed by Dr. Brian Silver, MD for Medicare patients.

The highest averages for the top procedures that Dr. Brian Silver, MD treated as a vascular neurologist in WORCESTER, MA were ultrasound (sonogram), vascular procedures, hospital care and inpatient care.

doctor visit	125
emergency care	17
hospital care	233
inpatient care	230
outpatient care	15
ultrasound (sonogram)	371
vascular procedures	371

Average Medicare Patient Data From 2012 - 2023

Information about Medicare patients treated by Dr. Brian Silver, MD.

**Gender**
Female	171
Male	165

**Ethnicity**
Black / African American	11
Asian / Pacific Islander	0
Non-Hispanic White	280
Native American / Alaskan Native	0
Hispanic	23
Other	3

**Age**
75 to 84	98
85 and over	67
Less than 65	56
65 to 74	114

Average of Total of Conditions of Medicare patients treated by Dr. Brian Silver, MD From 2012 - 2023

The highest averages of the most common conditions of Medicare patients that Dr. Brian Silver, MD treated were hypertension, high cholesterol, stroke and ischemic heart disease.

Hypertension	68
High Cholesterol	67
Stroke	57
Ischemic Heart Disease	45
Depression	38
Chronic Kidney Disease	39
Asthma	11
Osteoporosis	9
Heart Failure	28
Chronic Obstructive Pulmonary Disease	18
Diabetes	36
Atrial Fibrillation	24
Dementia	27
Cancer	12

Education & Training

Dr. Brian Silver, MD graduated from McGill University Faculty of Medicine in 1992. He completed residency at UMass Memorial Medical Center. He is certified by the Board Certification: Vascular Neurology and has a state license in Massachusetts.

Medical School: McGill University Faculty of Medicine (1992)

Residency: UMass Memorial Medical Center

Board Certification: Board Certification: Vascular Neurology

Licensed In: Massachusetts

Affiliations & Hospitals

Dr. Brian Silver, MD is associated with these hospitals and organizations:

UMass Memorial Medical Center

UMass Memorial Health

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General Payments

These charts describe general payments received by Dr. Brian Silver, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
AstraZeneca Pharmaceuticals LP	$1,684 BRILINTA $1,684
Biogen, Inc.	$41 $41
CSL Behring	$20 Kcentra $20

**Types of Payments**
Travel and Lodging	$1,158
Food and Beverage	$526
Education	$61

Research Payments

Dr. Brian Silver, MD has received 21 research payments totaling $126,864.

Biography

Dr. Brian Silver is a specialist in vascular neurology in Worcester, MA and Milford, MA. Dr. Silver's areas of expertise consist of ischemic stroke, headache, and lysosomal storage disease. He studied medicine at McGill University Faculty of Medicine. His training includes a residency program at UMass Memorial Medical Center. He is affiliated with UMass Memorial Medical Center. His practice in Worcester, MA is open to new patients as reported by Doctor.com.