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

Tanit Phupitakphol, MD

Individual provider Internal Medicine Physician · NPI 1487005062

Tanit Phupitakphol, MD is an Internal Medicine in Brockton, Massachusetts. Qualified in 2012, 14 years ago. Practices with Signature Healthcare Medical Group Inc, a 248-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Utah.

Years since qualifying
14
Licensed in
MA, UT
In the registry since
2016
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

130 Quincy Ave
Brockton, MA 02302-2803
Phone: (508) 941-7268
Fax: (508) 894-0412
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence 14235993-1205 (UT)
Internal Medicine Physician Taxonomy 207R00000X · Licence 286943 (MA)
Infectious Disease Physician Taxonomy 207RI0200X · Licence 286943 (MA)

Record details

NPI number1487005062
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2016
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address130 Quincy Ave, Brockton, MA 02302-2803

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesINFECTIOUS DISEASE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Signature Healthcare Medical Group Inc — 248 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Brockton