Peter C Brasch, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD07721 Issued in RI

Practice address

1 Thurber Blvd
Suite B
Smithfield, RI 02917-1826

Phone

(401) 349-5360

Fax

(401) 349-5270

NPI assigned

Nov 3, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Rutgers New Jersey Medical School, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lifespan Physician Group, Inc.

  • General Practice Physician
  • Providence, RI
  • NPI 1407116643
  Medicare reassignment Care Compare group NPD
• Peter C Brasch MD LLC

  • Ophthalmology Physician
  • Smithfield, RI
  • NPI 1942478060
  Medicare reassignment NPD Authorized official
• Peter C. Brasch, MD, LLC

  • Eyewear Supplier
  • Smithfield, RI
  • NPI 1093983496
  NPD Authorized official
• Lifespan Physician Group, Inc.

  • Emergency Medicine Physician
  • Providence, RI
  • NPI 1568325678
  NPD

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1023009404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 THURBER BLVD",
            "address_2": "SUITE B",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029171826",
            "telephone_number": "401-349-5360",
            "fax_number": "401-349-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 THURBER BLVD",
            "address_2": "SUITE B",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029171826",
            "telephone_number": "401-349-5360",
            "fax_number": "401-349-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASCH",
        "first_name": "PETER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "RI",
            "license": "MD07721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Bloomenthal, M.D.
• Blake Boles-Reed, LMHC
• Kate Bowen Young, LMHC
• Ellen Frances Brady, NP
• Sarah Brais
• Breezy Knoll Child Care Center
• Bradley William Brink, DPT
• Cheryl Muriel Brock, RD, LDN
• Megan Brunelle
• Barbara Brusini, RD

• Ophthalmology Physician in Smithfield, RI
• Providers in Smithfield, RI by specialty
• Ophthalmology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.