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

Dr. Kevin Raymond Gendreau, MD

Individual provider Family Medicine Physician · NPI 1023422607

Dr. Kevin Raymond Gendreau, MD is a Family Practice in Brockton, Massachusetts. Graduated from Temple University School of Medicine in 2014, 12 years ago. Practices with Signature Healthcare Medical Group Inc, a 248-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and Rhode Island.

Years since qualifying
12
Trained at
Temple University School of Medicine
Licensed in
MA, RI
In the registry since
2014
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

110 Liberty St
Brockton, MA 02301-5674
Phone: (508) 894-0400
Fax: (508) 565-0097
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 300 Hanover St Ste 1f, Fall River, MA 02720-5451 — (508) 973-8612

Specialties & licences

Obesity Medicine (Family Medicine) Physician (primary) Taxonomy 207QB0002X · Licence 270162 (MA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD17833 (RI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 270162 (MA)

Record details

NPI number1023422607
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 11, 2014
Last updated in NPPESMarch 10, 2022
Certification dateMarch 10, 2022
Mailing address110 Liberty St Ste 180, Brockton, MA 02301-5674

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Signature Healthcare Medical Group Inc — 248 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Brockton