NPIMap

Organization Active NPI

Lifespan Physician Group, Inc.

Doing business as Brown Health Medical Group

  • Surgery Physician
  • Providence, RI
National Provider Identifier
1174484216
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
LIFESPAN PHYSICIAN GROUP, INC.
Doing business as
Brown Health Medical Group
Practice address
2 Dudley St Ste 470
Providence, RI 02905-3248
Phone
(401) 272-1800
Fax
(401) 751-5124
NPI assigned
Nov 19, 2025
Last updated
Dec 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

2 Dudley St Ste 470
Providence, RI 02905-3248

Mailing address

15 La Salle SQ
Providence, RI 02903-1814

Other practice location 1

2 Dudley St Ste 190
Providence, RI 02905-3248
Phone (401) 272-1800

Other practice location 2

900 Warren Ave Ste 202
East Providence, RI 02914-1430
Phone (401) 272-1800

Other practice location 3

208 Collyer St Ste 301a
Providence, RI 02904-1560
Phone (401) 725-4888

Other practice location 4

100 Highland Ave Ste 308
Providence, RI 02906-2753
Phone (401) 272-1800

Other practice location 5

450 Veterans Memorial Pkwy BLDG 9
East Providence, RI 02914-5300
Phone (401) 272-1800

Other practice location 6

2 Dudley St Ste 370
Providence, RI 02905-3248
Phone (401) 272-1800

Other practice location 7

1500 Pontiac Ave
Cranston, RI 02920-4486
Phone (401) 272-1800

Other practice location 8

164 Summit Ave # C70
Providence, RI 02906-2853
Phone (401) 793-4545

Other practice location 9

562 Washington St
South Attleboro, MA 02703-6942
Phone (401) 272-1800

Other practice location 10

593 Eddy St Apc 4
Providence, RI 02903-4923
Phone (401) 272-1800

Other practice location 11

1524 Atwood Ave
Johnston, RI 02919-3248
Phone (401) 272-1800

Other practice location 12

639 Metacom Ave
Warren, RI 02885-2348
Phone (401) 272-1800

Other practice location 13

1407 S County TRL Ste 423
East Greenwich, RI 02818-1761
Phone (401) 228-0590

Other practice location 14

195 Collyer St Ste 302
Providence, RI 02904-1869
Phone (401) 793-3236

Other practice location 15

19 Friendship St Unit 240
Newport, RI 02840-2200
Phone (401) 619-3930

Other practice location 16

2 Wake Robin Rd Ste 205
Lincoln, RI 02865-4241
Phone (401) 272-1800

Other names 1

  • BROWN HEALTH MEDICAL GROUP Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121029000368 RI Part B Supplier - Clinic/Group Practice 2567455082 Receives reassigned benefits from 1,439 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 6

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
41D2007516Lifespan Physician Group, Inc900 Warren Avenue, East Providence, RI 02914Provider-performed microscopyMay 17, 2028

National Provider Directory

National Provider Directory
Tax ID family
Lifespan Phys Group Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

562 Washington St
South Attleboro, MA 02703
Phone (401) 725-4888

164 Summit Ave
#C70
Providence, RI 02906
Phone (401) 793-3922

2 Dudley St
Ste 370
Providence, RI 02905
Phone (401) 444-3600

900 Douglas Pike
Smithfield, RI 02917
Phone (401) 618-5507

Practitioners & affiliated clinicians

Practitioners 47

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 47

NPI Registry JSON

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1174484216",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DUDLEY ST STE 470",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029053248",
            "telephone_number": "401-272-1800",
            "fax_number": "401-751-5124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 DUDLEY ST STE 190",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029053248",
            "country_code": "US",
            "telephone_number": "401-272-1800",
            "fax_number": "401-751-5124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 WARREN AVE STE 202",
            "address_purpose": "LOCATION",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141430",
            "country_code": "US",
            "telephone_number": "401-272-1800",
            "fax_number": "401-751-5124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "208 COLLYER ST STE 301A",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029041560",
            "country_code": "US",
            "telephone_number": "401-725-4888",
            "fax_number": "401-725-3336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 HIGHLAND AVE STE 308",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029062753",
            "country_code": "US",
            "telephone_number": "401-272-1800",
            "fax_number": "401-751-5124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 VETERANS MEMORIAL PKWY BLDG 9",
            "address_purpose": "LOCATION",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029145300",
            "country_code": "US",
            "telephone_number": "401-272-1800",
            "fax_number": "401-751-5124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 DUDLEY ST STE 370",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029053248",
            "country_code": "US",
            "telephone_number": "401-272-1800",
            "fax_number": "401-751-5124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 PONTIAC AVE",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029204486",
            "country_code": "US",
            "telephone_number": "401-272-1800",
            "fax_number": "401-751-5124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "164 SUMMIT AVE # C70",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029062853",
            "country_code": "US",
            "telephone_number": "401-793-4545",
            "fax_number": "401-793-7866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "562 WASHINGTON ST",
            "address_purpose": "LOCATION",
            "city": "SOUTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027036942",
            "country_code": "US",
            "telephone_number": "401-272-1800",
            "fax_number": "401-751-5124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "593 EDDY ST APC 4",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034923",
            "country_code": "US",
            "telephone_number": "401-272-1800",
            "fax_number": "401-751-5124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1524 ATWOOD AVE",
            "address_purpose": "LOCATION",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193248",
            "country_code": "US",
            "telephone_number": "401-272-1800",
            "fax_number": "401-751-5124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "639 METACOM AVE",
            "address_purpose": "LOCATION",
            "city": "WARREN",
            "state": "RI",
            "postal_code": "028852348",
            "country_code": "US",
            "telephone_number": "401-272-1800",
            "fax_number": "401-751-5124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1407 S COUNTY TRL STE 423",
            "address_purpose": "LOCATION",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181761",
            "country_code": "US",
            "telephone_number": "401-228-0590",
            "fax_number": "401-471-7301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "195 COLLYER ST STE 302",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029041869",
            "country_code": "US",
            "telephone_number": "401-793-3236",
            "fax_number": "401-793-5171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 FRIENDSHIP ST UNIT 240",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "RI",
            "postal_code": "028402200",
            "country_code": "US",
            "telephone_number": "401-619-3930",
            "fax_number": "401-619-3932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Wake Robin Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "RI",
            "postal_code": "028654241",
            "country_code": "US",
            "telephone_number": "401-272-1800",
            "fax_number": "401-751-5124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFESPAN PHYSICIAN GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "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": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROWN HEALTH MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 2, 2025; 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.