Bridgewater Goddard Park Medical Associates Podiatry Division
NPI 1962686329 · Foot Surgery Podiatrist · Brockton, MA
Bridgewater Goddard Park Medical Associates Podiatry Division is a Foot Surgery Podiatrist organization in Brockton, MA (NPI 1962686329).
Provider details
- NPI number
- 1962686329
- Entity type
- Organization
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Kim Hollon, Ceo(508) 941-7004
- License
- 1715 (MA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Signature Medical Group
Registry dates
- Enumerated
- 2007-12-20
- Last updated
- 2012-05-23
Frequently asked questions
- What is Bridgewater Goddard Park Medical Associates Podiatry Division's NPI number?
- Bridgewater Goddard Park Medical Associates Podiatry Division's National Provider Identifier (NPI) is 1962686329, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bridgewater Goddard Park Medical Associates Podiatry Division?
- Bridgewater Goddard Park Medical Associates Podiatry Division is classified in the NPPES registry as Foot Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Bridgewater Goddard Park Medical Associates Podiatry Division located?
- Bridgewater Goddard Park Medical Associates Podiatry Division's practice location on file with NPPES is 110 Liberty St, Brockton, MA 02301-5521.
- What is Bridgewater Goddard Park Medical Associates Podiatry Division's phone number?
- The practice phone number listed in the NPPES registry for Bridgewater Goddard Park Medical Associates Podiatry Division is (508) 894-0400.
- Who is the authorized official for Bridgewater Goddard Park Medical Associates Podiatry Division?
- The authorized official listed on Bridgewater Goddard Park Medical Associates Podiatry Division's NPPES record is Kim Hollon, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bridgewater Goddard Park Medical Associates Podiatry Division's NPI active?
- Yes — Bridgewater Goddard Park Medical Associates Podiatry Division's NPI (1962686329) is active in the NPPES registry as of the last update on 2012-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.