J W PODIATRY PC
NPI 1629294020
Podiatrist - Foot Surgery in Brockton, MA

Active since April 17, 2007
22 CHRISTY DR, 5, BROCKTON, MA 02301(508) 586-4444(508) 586-4449 Get Directions Write a Review

NPPES record last updated: July 10, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About J W Podiatry Pc NPPES

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

J W PODIATRY PC (NPI 1629294020) is a healthcare organization registered as a foot surgery in Brockton, Massachusetts and active in the NPI registry since April 2007. The organization lists W Anthony Wakim, Owner, as its authorized official.

NPPES Registry Identity

NPI1629294020
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameJ W PODIATRY PC
Location Address22 CHRISTY DR, 5Brockton, MA 02301-1839
Mailing Address22 Christy Dr, 5Brockton, MA 02301-1839 · (508) 586-4444 · Fax (508) 586-4449
Fax(508) 586-4449
Organization SubpartNo
Authorized OfficialW Anthony WakimOwner · (508) 586-4444
Enumeration DateApril 17, 2007
Last NPPES UpdateJuly 10, 2012
NPI 1629294020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
22 CHRISTY DR, Brockton, MA 02301

Other Identifiers 2

Medicare ID-Type UnspecifiedY78012MA
Medicare NSC4004360001

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

Accepted Insurance

Other Providers at the Same Location NPPES 6

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

Psychologist
22 CHRISTY DR
BROCKTON, MA 02301
Clinical Nurse Specialist (Psychiatric/Mental Health)
22 CHRISTY DR
BROCKTON, MA 02301
Psychologist (Clinical)
22 CHRISTY DR
BROCKTON, MA 02301
Clinic/Center (Sleep Disorder Diagnostic)
22 CHRISTY DR
BROCKTON, MA 02301
Social Worker (Clinical)
22 CHRISTY DR
BROCKTON, MA 02301
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
22 CHRISTY DR
BROCKTON, MA 02301

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 J W Podiatry PC's NPI number?

The NPI number for J W Podiatry PC is 1629294020. It was assigned to this organization in the NPPES registry on April 17, 2007.

Where is J W Podiatry PC located?

J W Podiatry PC is located at 22 Christy Dr 5, Brockton, MA 02301. The listed phone number is (508) 586-4444.

What is J W Podiatry PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

What insurance does J W Podiatry PC accept?

Health plans from Anthem Blue Cross and Blue Shield list J W Podiatry PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for J W Podiatry PC was last updated on July 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.