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

Nuvair Ali Imam, MD

Individual provider Family Medicine Physician · NPI 1558989491

Nuvair Ali Imam, MD is a Family Practice in Brockton, Massachusetts. Qualified in 2019, 7 years ago. Practices with Signature Healthcare Medical Group Inc, a 248-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
7
Licensed in
MA
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

110 Liberty St
Brockton, MA 02301-5674
Phone: (508) 894-0400
Fax: (508) 894-0412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5177 McCarty Ln, Lafayette, IN 47905-8764 — (765) 448-8100

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Family Medicine Physician Taxonomy 207Q00000X · Licence 1013057 (MA)

Record details

NPI number1558989491
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2020
Last updated in NPPESJanuary 12, 2024
Certification dateJanuary 12, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Signature Healthcare Medical Group Inc — 248 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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