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

Brockton Podiatry Group a Prof Corp

Organization Foot & Ankle Surgery Podiatrist · NPI 1275867228

Brockton Podiatry Group a Prof Corp is a Foot & Ankle Surgery Podiatrist in Redlands, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16 E Fern Ave Ste B
Redlands, CA 92373-4000
Phone: (909) 793-2379
Fax: (909) 793-9660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E1514 (CA)

Record details

NPI number1275867228
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Durrant — Physician/Owner · (909) 793-2379
NPI enumeratedSeptember 23, 2009
Last updated in NPPESMarch 22, 2011
Mailing address16 E Fern Ave, Suite B, Redlands, CA 92373-4000

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