Organization Active NPI

Peter C. Brasch, MD, LLC

  • Eyewear Supplier
  • Smithfield, RI
National Provider Identifier
1093983496
Registry record updated Nov 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
PETER C. BRASCH, MD, LLC
Practice address
1 Thurber Blvd
Smithfield, RI 02917-1826
Phone
(401) 349-5360
NPI assigned
Feb 19, 2008
Organization subpart
Yes
Parent organization
PETER C. BRASCH, MD, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 23, 2008

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

Authorized official

Name
Peter C. Brasch, M.D.NPI 1023009404
Title
Owner
Phone
(401) 487-3963

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1 Thurber Blvd
Smithfield, RI 02917-1826

Mailing address

1 Thurber Blvd
Smithfield, RI 02917-1826
Phone (401) 349-5360

National Provider Directory

National Provider Directory
Part of
Peter C Brasch MD LLC

Locations

1 Thurber Blvd
Unit B
Smithfield, RI 02917
Phone (401) 349-5360

1 Thurber Blvd
Smithfield, RI 02917
Phone (401) 231-7390

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227398400000",
    "number": "1093983496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 THURBER BLVD",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029171826",
            "telephone_number": "401-349-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 THURBER BLVD",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029171826",
            "telephone_number": "401-349-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER C. BRASCH, MD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PETER C. BRASCH, MD, LLC",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-11-23",
        "status": "A",
        "authorized_official_last_name": "BRASCH",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-487-3963",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.