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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Andrey Gagarin, M.D.

Psychiatry Physician in Brockton, MA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1225074123

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Registry record

Entity type Individual (Type 1)
Name Andrey Gagarin
Credential M.D.
Sex Male
Practice address Brockton, MA, 02302
Fax (508) 941-6401
Enumeration date Jun 21, 2006
Last updated in NPPES Dec 7, 2011

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 154838 (MA) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
1200283 Medicaid MA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Andrey Gagarin practice?
The practice location on file with NPPES is in Brockton, MA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Andrey Gagarin?
The National Provider Identifier (NPI) for Andrey Gagarin is 1225074123, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-12-07.