Individual provider Active NPI

Judith G King, NP

  • Nurse Practitioner
  • Brockton, MA
National Provider Identifier
1467437947
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
172092 Issued in MA
Practice address
110 Liberty St
Brockton, MA 02301-5521
Phone
(508) 894-0400
Fax
(508) 565-0157
NPI assigned
Dec 7, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 172092 MA Primary

Addresses

Primary practice location

110 Liberty St
Brockton, MA 02301-5521

Mailing address

960 Massachusetts Ave
FL 2
Boston, MA 02118

Other practice location 1

15 Roche Brothers Way
Ste 110
North Easton, MA 02356-1000
Phone (781) 792-6500

Other practice location 2

830 Oak St
Ste 205W
Brockton, MA 02301-1191
Phone (508) 583-4440

Other identifiers 2

IdentifierTypeStateIssuer
110078451AMedicaidMA
3154017MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080131000265 MA Practitioner - Nurse Practitioner 2668554577 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BMC Affiliated Physicians, Inc.Group PAC ID 9830133123, 543 clinicians

Practice addresses (Care Compare)

235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000

Hospital & facility affiliations

  • Good Samaritan Medical Center Hospital, Brockton, MA, CCN 220111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
172092MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Dec 1, 2011 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 1, 2011 Accepting new patients
Revere Medical of Massachusetts, PC CurrentSince Oct 30, 2024 Accepting new patients
BMC Affiliated Physicians, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Hawthorn Medical Associates Past Accepting new patients
Medical Care of Boston Management Corporation Past Accepting new patients

Locations

960 Massachusetts Ave
Ste 2
Boston, MA 02118

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

1 Pearl St
Ste 2200
Brockton, MA 02301
Phone (508) 897-6150

1 Pearl St
Ste 1000
Brockton, MA 02301
Phone (508) 897-6050

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

830 Oak St
Ste 205W
Brockton, MA 02301
Phone (508) 427-2602

15 Payson Rd
Ste 3
Foxboro, MA 02035
Phone (508) 772-1438

62 Brown St
#507
Haverhill, MA 01830
Phone (978) 722-7818

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

15 Roche Brothers Way
Ste 110
North Easton, MA 02356
Phone (781) 792-6500

Interoperability endpoints

  • Direct secure messaging: jking259933@direct.bmc.masshiway.net
  • Direct secure messaging: judy.king.1@2017.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1467437947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVE",
            "address_2": "FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LIBERTY ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015521",
            "telephone_number": "508-894-0400",
            "fax_number": "508-565-0157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Roche Brothers Way",
            "address_2": "Ste 110",
            "address_purpose": "LOCATION",
            "city": "North Easton",
            "state": "MA",
            "postal_code": "023561000",
            "country_code": "US",
            "telephone_number": "781-792-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 Oak St",
            "address_2": "Ste 205W",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023011191",
            "country_code": "US",
            "telephone_number": "508-583-4440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "JUDITH",
        "middle_name": "G",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "172092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110078451A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3154017",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.