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

Patrick James Sullivan, PA

Individual provider Physician Assistant · NPI 1972024594

Patrick James Sullivan, PA is a Physician Assistant in Brockton, Massachusetts. Qualified in 2017, 9 years ago. Practices with Signature Healthcare Medical Group Inc, a 248-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and New York.

Years since qualifying
9
Licensed in
MA, NY
In the registry since
2017
Specialties on file
2
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

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

Additional practice locations (2)

  • 25 Libby St, Brockton, MA 02302-2949 — (508) 894-0400
  • 6619 State Highway Route 11, Canton, NY 13617 — (315) 265-3300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA8960 (MA)
Physician Assistant Taxonomy 363A00000X · Licence 020926 (NY)

Record details

NPI number1972024594
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 5, 2017
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 26, 2023
Mailing address110 Liberty St, Brockton, MA 02301-5674

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Signature Healthcare Medical Group Inc — 248 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Brockton