Brown Medicine
Organization Active NPI Endocrinology, Diabetes & Metabolism Physician · Riverside, RI
NPI 1104564137 · NPPES record last updated Feb 14, 2024
Key facts
- NPI
- 1104564137
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- Legal business name
- BROWN MEDICINE
- Practice address
- 375 Wampanoag TRL
Riverside, RI 02915-2232 - Phone
- (401) 444-7793
- NPI assigned
- May 20, 2022
- Organization subpart
- No
Authorized official
- Name
- Donna Gordon
- Title
- RCM Director
- Phone
- (401) 443-5107
Other NPIs on the same Medicare enrollment 5
Corporate family (same tax ID) 6
Practitioners 53
-
Hina Ali, MD
-
Jason M Aliotta, MD
-
Curt G Beckwith, MD
-
Vesna Buntak, MD
-
Sean Fine, M.D.
-
Jana Jarolimova, MD
-
Ernestine Jennings, PHD
-
Melissa Jones, MD
-
Sara E Kent, PA-C
-
Jisoo Lee, M.D.
-
David A Marcoux, M.D.
-
Kelly A McGarry, MD
-
Josiah D Rich, MD
-
Alicia Ringel, M.D.
-
Edward J Stulik, MD
-
Valerie Thomas, M.D.
-
Ameen Al-Aghil, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040219000354 | RI | Part B Supplier - Clinic/Group Practice | 0446159776 |
Receives reassigned benefits from 259 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: East Providence, RI; Warwick, RI; Smithfield, RI; Riverside, RI; Providence, RI; Newport, RI; Lincoln, RI; East Greenwich, RI |
National Provider Directory
- Tax ID family
- Karen Chase NPP
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EJFJAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician |
207K00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Endocrinology, Diabetes & Metabolism Physician |
207RE0101X | Yes | ||
| Infectious Disease Physician |
207RI0200X | |||
| Rheumatology Physician |
207RR0500X | |||
| Addiction Medicine (Preventive Medicine) Physician |
2083A0300X | |||
| Medical Physician Assistant |
363AM0700X | |||
| Nurse Practitioner |
363L00000X | |||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
375 Wampanoag TRL
Riverside, RI 02915-2232
Mailing address
Dept 3010, PO Box 986524
Boston, MA 02298-6524
Phone (401) 443-4992
Other providers in Riverside, RI
- Braver Medical, PLLC
- James Andrew Brcak
- Michelle Breda
- Catherine Maclaughlin Brennan
- Deirdre T Brogan
- Brown Medicine
- Brown Medicine
- Brown Medicine
- Brown Medicine
- Catherine Lynn Brown
All providers in Riverside, RI · Endocrinology, Diabetes & Metabolism Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.