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BROCKTON PODIATRY GROUP A PROF CORP
NPI 1275867228
Podiatrist - Foot & Ankle Surgery in Redlands, CA

Active since September 23, 2009
16 E FERN AVE, SUITE B, REDLANDS, CA 92373(909) 793-2379(909) 793-9660 Get Directions Write a Review

NPPES record last updated: March 22, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brockton Podiatry Group A Prof Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROCKTON PODIATRY GROUP A PROF CORP (NPI 1275867228) is a healthcare organization registered as a foot & ankle surgery in Redlands, California and active in the NPI registry since September 2009. The organization lists Michael N Durrant, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1275867228
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameBROCKTON PODIATRY GROUP A PROF CORP
Location Address16 E FERN AVE, SUITE BRedlands, CA 92373-4000
Mailing Address16 E Fern Ave, Suite BRedlands, CA 92373-4000 · (909) 793-2379 · Fax (909) 793-9660
Phone(909) 793-2379
Fax(909) 793-9660
Organization SubpartNo
Authorized OfficialMichael N DurrantPhysician/owner · (909) 793-2379
Enumeration DateSeptember 23, 2009
Last NPPES UpdateMarch 22, 2011
✔ NPI 1275867228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · E1514
16 E FERN AVE, Redlands, CA 92373
Open in Google Maps ↗

Other Identifiers 1

Medicare NSC6491680001CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REDLANDS PODIATRY GROUP PC
Podiatrist (Foot & Ankle Surgery)
16 E FERN AVE, SUITE A
REDLANDS, CA 92373
San Bernardino County (909) 792-6066
CHRISTINE MARIA CACHOLA D.P.M
Podiatrist
16 E FERN AVE
REDLANDS, CA 92373
San Bernardino County (909) 792-6066
JESSICA M ROSARIO GONZALEZ AU.D.
Audiologist
16 E FERN AVE, STE C
REDLANDS, CA 92373
San Bernardino County (909) 792-0074
DR. JOHN T WILLIAMS D.P.M.
Podiatrist
16 E FERN AVE, STE. A
REDLANDS, CA 92373
San Bernardino County (909) 792-6066
LAURA KAY-AGUILAR HOUCK PA-C
Physician Assistant
16 E FERN AVE
REDLANDS, CA 92373
San Bernardino County (909) 435-4852

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brockton Podiatry Group A Prof Corp's NPI number?

The NPI number for Brockton Podiatry Group A Prof Corp is 1275867228. It was assigned to this organization in the NPPES registry on September 23, 2009.

Where is Brockton Podiatry Group A Prof Corp located?

Brockton Podiatry Group A Prof Corp is located at 16 E Fern Ave Suite B, Redlands, CA 92373. The listed phone number is (909) 793-2379.

What is Brockton Podiatry Group A Prof Corp's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Brockton Podiatry Group A Prof Corp was last updated on March 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.