Organization Active NPI

Brian J Albano DPM

  • Durable Medical Equipment & Medical Supplies
  • Providence, RI
National Provider Identifier
1053597609
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
DPM197 Issued in RI
Legal business name
BRIAN J ALBANO DPM
Practice address
1075 Smith St
Providence, RI 02908-2700
Phone
(401) 273-0600
Fax
(401) 273-0412
NPI assigned
Jan 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Brian J Albano, DPM
Title
Owner
Phone
(401) 273-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X DPM197 RI Primary

Addresses

Primary practice location

1075 Smith St
Providence, RI 02908-2700

Mailing address

1075 Smith St
Providence, RI 02908-2700
Phone (401) 273-0600

Other identifiers 1

IdentifierTypeStateIssuer
9007201MedicaidRI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1053597609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 SMITH ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029082700",
            "telephone_number": "401-273-0600",
            "fax_number": "401-273-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 SMITH ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029082700",
            "telephone_number": "401-273-0600",
            "fax_number": "401-273-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN J ALBANO DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "ALBANO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-273-0600",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "RI",
            "license": "DPM197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9007201",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.