Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Matthew Daley Sullivan, PA

Individual provider Physician Assistant · NPI 1700884913

Mr. Matthew Daley Sullivan, PA is a Physician Assistant in Brockton, Massachusetts. Qualified in 1994, 32 years ago. Practices with Renal Medical Care PC, a 4-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
32
Licensed in
MA
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

830 Oak St 125E
Brockton, MA 02301-1168
Phone: (508) 588-1505
Fax: (508) 588-1508
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1141 (MA)

Record details

NPI number1700884913
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 12, 2005
Last updated in NPPESJune 26, 2008

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Renal Medical Care P.C. — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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