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

Syed M Imam, MD

Individual provider Family Medicine Physician · NPI 1972789592

Syed M Imam, MD is a Family Practice in Brockton, Massachusetts. Qualified in 2002, 24 years ago. Practices with Signature Healthcare Medical Group Inc, a 248-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
24
Licensed in
MA
In the registry since
2008
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 02301-5521
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.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 234647 (MA)

Record details

NPI number1972789592
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 14, 2008
Last updated in NPPESJanuary 12, 2024
Certification dateJanuary 12, 2024
Mailing address110 Liberty St, Brockton, MA 02301-5521

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Signature Healthcare Medical Group Inc — 248 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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