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

Dr. Mark Dewald Bobbin, MD

Individual provider Diagnostic Radiology Physician · NPI 1639422637

Dr. Mark Dewald Bobbin, MD is a Diagnostic Radiology in Brockton, Massachusetts. Graduated from Rutgers New Jersey Medical School in 2008, 18 years ago. Practices with Signature Healthcare Medical Group Inc, a 248-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
18
Trained at
Rutgers New Jersey Medical School
Licensed in
MA
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

110 Liberty St
Brockton, MA 02301-5674
Phone: (508) 565-3275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Madison Avenue, Morristown, NJ 07960 — (973) 971-5000

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 253912 (MA)

Record details

NPI number1639422637
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 16, 2012
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024
Mailing address110 Liberty St, Brockton, MA 02301-5674

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 2008 (18 years in practice)
Group practice Signature Healthcare Medical Group Inc — 248 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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