SIGNATURE MEDICAL GROUP
NPI 1417932591
Clinic/Center - Multi-Specialty in Brockton, MA

Q: What is Bridgewater Goddard Park Medical Associates, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since December 12, 2005

110 LIBERTY ST, BROCKTON, MA 02301(508) 894-0400(508) 565-0157 Get Directions Write a Review

NPPES record last updated: June 18, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Signature Medical Group NPPES

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

SIGNATURE MEDICAL GROUP (NPI 1417932591) is a healthcare organization registered as a multi-specialty in Brockton, Massachusetts and active in the NPI registry since December 2005. The organization lists Kim Hollon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417932591

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameBRIDGEWATER GODDARD PARK MEDICAL ASSOCIATES, INC.

Location Address110 LIBERTY STBrockton, MA 02301-5521

Mailing Address110 Liberty StBrockton, MA 02301-5521 · (508) 894-0400 · Fax (508) 565-0157

Phone(508) 894-0400

Fax(508) 565-0157

Organization SubpartNo

Authorized OfficialKim HollonCeo · (508) 941-7004

Enumeration DateDecember 12, 2005

Last NPPES UpdateJune 18, 2013

✔ NPI 1417932591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

110 LIBERTY ST, Brockton, MA 02301

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Other Names 1

Doing Business AsSignature Medical Group

Other Identifiers 3

Medicare PINM20452MA

Medicaid110022141EMA

Medicare NSC4423010001MA

Other Providers at the Same Location NPPES 20

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

GEORGE C BROWN MD

Orthopaedic Surgery

110 LIBERTY ST
BROCKTON, MA 02301

Plymouth County (508) 894-0400

TALEEN ARSLANIAN MD

Internal Medicine

110 LIBERTY ST
BROCKTON, MA 02301

Plymouth County (508) 894-0400

LETITIA L SULLIVAN CNM

Advanced Practice Midwife

110 LIBERTY ST
BROCKTON, MA 02301

Plymouth County (508) 894-0400

FITNESS FORUM SERVICES LLC

Physical Therapist

110 LIBERTY ST, SUITE 1300
BROCKTON, MA 02301

Plymouth County (508) 580-0144

MR. MICHAEL J. ROURKE M.S.P.T.

Physical Therapist

110 LIBERTY ST, SUITE 1300
BROCKTON, MA 02301

Plymouth County (508) 580-0144

SUSAN C SKAPARAS NP

Nurse Practitioner

110 LIBERTY ST
BROCKTON, MA 02301

Plymouth County (508) 894-0400

DANIELLE AUCLAIR MPT, DPT

Physical Therapist

110 LIBERTY ST, SUITE 1300
BROCKTON, MA 02301

Plymouth County (508) 580-0144

LYNDSEY DAVIS ROBINSON NP

Nurse Practitioner

110 LIBERTY ST
BROCKTON, MA 02301

Plymouth County (508) 894-0400

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 Bridgewater Goddard Park Medical Associates, Inc.'s NPI number?

The NPI number for Bridgewater Goddard Park Medical Associates, Inc. is 1417932591. It was assigned to this organization in the NPPES registry on December 12, 2005. The provider is doing business as Signature Medical Group.

Where is Bridgewater Goddard Park Medical Associates, Inc. located?

Bridgewater Goddard Park Medical Associates, Inc. is located at 110 Liberty St, Brockton, MA 02301. The listed phone number is (508) 894-0400.

What is Bridgewater Goddard Park Medical Associates, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Bridgewater Goddard Park Medical Associates, Inc. was last updated on June 18, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.