Active NPIIndividual provider

Shaun C Antonio, DO

Emergency Medicine in Brockton, Massachusetts

NPI Number1245811603
Practice location
680 Centre St, Brockton, MA 02302-3308
Fax
—
Last updated
August 5, 2026

Shaun C Antonio is an Emergency Medicine based in Brockton, MA. Shaun C Antonio practices in Brockton, MA and has the professional credentials of DO. The NPI Number for Shaun C Antonio is 1245811603 and holds a License No. 1018171 (MA). The current practice location address for Shaun C Antonio is 680 Centre St, Brockton, MA 02302-3308 and can be reached out via phone at 508-941-7400.

Provider Profile Details

NPI Number
1245811603
Provider Name
Shaun C Antonio
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
680 Centre St, Brockton, MA 02302-3308
Phone Number
508-941-7400
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
No
Provider Enumeration Date
April 17, 2021
Last Update Date
August 5, 2026
Certification Date
August 5, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
680 Centre St
Brockton, MA 02302-3308
Zip
02302-3308
Phone Number
508-941-7400
Brockton, MA 02302Get directions →

Provider Business Mailing Address Details

Address
680 Centre St
Brockton, MA 02302-3308
City
Brockton
State
MA
Zip
02302-3308
Phone Number
508-941-7400

License Information

License Number (1)
1018171
License State (1)
MA
Taxonomy (1)
Emergency Medicine · 207P00000X · Primary
License State (2)
TX
License Number (3)
U5343
License State (3)
TX
Taxonomy (3)
Emergency Medicine · 207P00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shaun C Antonio, DO?

The NPI number of Shaun C Antonio, DO is 1245811603. It was assigned on April 17, 2021 and is currently active in the NPPES registry.

What is the specialty of Shaun C Antonio, DO?

Shaun C Antonio, DO is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in MA under license number 1018171.

Where does Shaun C Antonio, DO practice?

The practice location is 680 Centre St, Brockton, MA 02302-3308. The office can be reached at 508-941-7400 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245811603 directly on the NPPES registry website.

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