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

Bridgewater Goddard Park Medical Associates Podiatry Division

Organization Foot Surgery Podiatrist · NPI 1962686329

Bridgewater Goddard Park Medical Associates Podiatry Division is a Foot Surgery Podiatrist in Brockton, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2007.

Licensed in
MA
In the registry since
2007

Practice location Address checks out

110 Liberty St
Brockton, MA 02301-5521
Phone: (508) 894-0400
Fax: (508) 565-0157
Show map & directions

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

Specialties & licences

Foot Surgery Podiatrist (primary) Taxonomy 213ES0131X · Licence 1715 (MA)

Record details

NPI number1962686329
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Hollon — Ceo · (508) 941-7004
Other names Signature Medical Group
NPI enumeratedDecember 20, 2007
Last updated in NPPESMay 23, 2012
Mailing address110 Liberty St, Brockton, MA 02301-5521

Other providers in Brockton