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

Shruti Pathak, MD

Individual provider Family Medicine Physician · NPI 1124301304

Shruti Pathak, MD is a Family Practice in Brockton, Massachusetts. Qualified in 2007, 19 years ago. Practices with Brockton Neighborhood Health Center, a 70-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
19
Licensed in
MA
In the registry since
2011
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

63 Main St Ste 1
Brockton, MA 02301-4042
Phone: (508) 559-6699
Fax: (508) 559-5073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 259344 (MA)

Record details

NPI number1124301304
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 23, 2011
Last updated in NPPESSeptember 30, 2014
Mailing address63 Main St, Brockton, MA 02301-4042

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Brockton Neighborhood Health Center — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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