NPIMap

Organization Active NPI

Coastal Medical Physicians, Inc.

Doing business as Brown Health Medical Group Primary Care

  • Internal Medicine Physician
  • Riverside, RI
National Provider Identifier
1093678104
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COASTAL MEDICAL PHYSICIANS, INC.
Doing business as
Brown Health Medical Group Primary Care
Practice address
375 Wampanoag TRL
Riverside, RI 02915-2232
Phone
(401) 649-4000
NPI assigned
Dec 5, 2025
Last updated
Apr 22, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
LIFESPAN PHYSICIAN GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Christine Rawnsley
Title
VP Revenue Cycle
Phone
(401) 444-6905

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X
Clinical Social Worker 1041C0700X
Internal Medicine Physician 207R00000X Primary
Psychiatry Physician 2084P0800X

Addresses

Primary practice location

375 Wampanoag TRL
Riverside, RI 02915-2232

Mailing address

15 La Salle SQ
Providence, RI 02903-1814
Phone (401) 444-6779

Other practice location 1

245 Chapman St Ste 300
Providence, RI 02905-4539
Phone (401) 649-4000

Other practice location 2

909 N Main St Ste 300
Providence, RI 02904-5752
Phone (401) 649-4000

Other practice location 3

900 Douglas Pike
Smithfield, RI 02917-1879
Phone (401) 649-4000

Other practice location 4

1454 S County Trl
East Greenwich, RI 02818-1749
Phone (401) 649-4000

Other practice location 5

593 Eddy St
Providence, RI 02903-4923
Phone (401) 649-4000

Other practice location 6

43 Jefferson Blvd
Warwick, RI 02888-1027
Phone (401) 649-4000

Other practice location 7

164 Summit Ave
Providence, RI 02906-2853
Phone (401) 649-4000

Other names 1

  • BROWN HEALTH MEDICAL GROUP PRIMARY CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210427001413 RI Part B Supplier - Clinic/Group Practice 0345658316 Receives reassigned benefits from 290 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Providence, RI; Riverside, RI; Smithfield, RI; Ste 100, RI; Tiverton, RI; Wakefield, RI; Lincoln, RI; Warren, RI…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
41D0944317Brown Primary Care375 Wampanoag Trail, East Providence, RI 02915Provider-performed microscopyApr 9, 2028

National Provider Directory

National Provider Directory
Tax ID family
Coastal Medical Physicians2 organizations share this tax ID, including this one
Part of
University Cardio Found-TMH

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1400 W Main Rd
Middletown, RI 02842
Phone (401) 606-4510

59 South County Commons Way
Unit H2
Wakefield, RI 02879
Phone (401) 783-0084

65 Village Square Dr
Ste 101
Wakefield, RI 02879
Phone (401) 789-5924

176 Toll Gate Rd
Ste 101
Warwick, RI 02886
Phone (401) 737-9240

Practitioners & affiliated clinicians

Practitioners 331

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 331

NPI Registry JSON

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

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1093678104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LA SALLE SQ",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029031814",
            "telephone_number": "401-444-6779",
            "fax_number": "401-444-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 WAMPANOAG TRL",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029152232",
            "telephone_number": "401-649-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Chapman St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029054539",
            "country_code": "US",
            "telephone_number": "401-649-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "909 N Main St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029045752",
            "country_code": "US",
            "telephone_number": "401-649-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Douglas Pike",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "RI",
            "postal_code": "029171879",
            "country_code": "US",
            "telephone_number": "401-649-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1454 S County Trl",
            "address_purpose": "LOCATION",
            "city": "East Greenwich",
            "state": "RI",
            "postal_code": "028181749",
            "country_code": "US",
            "telephone_number": "401-649-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "593 Eddy St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034923",
            "country_code": "US",
            "telephone_number": "401-649-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "43 Jefferson Blvd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028881027",
            "country_code": "US",
            "telephone_number": "401-649-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "164 Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029062853",
            "country_code": "US",
            "telephone_number": "401-649-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL MEDICAL PHYSICIANS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFESPAN PHYSICIAN GROUP, INC.",
        "enumeration_date": "2025-12-05",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "RAWNSLEY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "401-444-6905"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROWN HEALTH MEDICAL GROUP PRIMARY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.