Lifespan Physician Group, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

LIFESPAN PHYSICIAN GROUP, INC.

Doing business as

Brown Health Medical Group

Practice address

375 Wampanoag TRL
Riverside, RI 02915-2232

Phone

(401) 649-4000

NPI assigned

Dec 2, 2025

Last updated

Apr 28, 2026By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 1

• BROWN HEALTH MEDICAL GROUP Doing business as

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Other NPIs on the same Medicare enrollment 6

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

• Lifespan Physician Group Inc

  dba Brown Health Medical Group

  • Dermatology Physician
  • Providence, RI
  • NPI 1578424602

  O20121029000368

  Same enrollment
• Lifespan Physician Group Inc

  dba Brown Health Medical Group

  • Urology Physician
  • Providence, RI
  • NPI 1720949803

  O20121029000368

  Same enrollment
• Lifespan Physician Group, Inc.

  dba Brown Health Medical Group

  • Surgery Physician
  • Providence, RI
  • NPI 1174484216

  O20121029000368

  Same enrollment
• Lifespan Physician Group, Inc.

  dba Brown Health Medical Group

  • General Practice Physician
  • Providence, RI
  • NPI 1407116643

  O20121029000368

  Same enrollment
• Lifespan Physician Group, Inc.

  dba Brown Health Medical Group

  • Emergency Medicine Physician
  • Providence, RI
  • NPI 1568325678

  O20121029000368

  Same enrollment
• Lifespan Physician Group, Inc.

  dba Brown Health Medical Group

  • Neurology Physician
  • Providence, RI
  • NPI 1689536229

  O20121029000368

  Same enrollment

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.

• Lifespan Physician Group Inc

  dba Brown Health Medical Group

  • Ambulatory Surgical Clinic/Center
  • East Providence, RI
  • NPI 1134078868
  NPD tax ID
• Lifespan Physician Group Inc

  dba Brown Health Medical Group

  • Dermatology Physician
  • Providence, RI
  • NPI 1578424602
  NPD tax ID
• Lifespan Physician Group Inc

  dba Brown Health Medical Group

  • Urology Physician
  • Providence, RI
  • NPI 1720949803
  NPD tax ID
• Lifespan Physician Group, Inc.

  dba Brown Health Medical Group

  • Surgery Physician
  • Providence, RI
  • NPI 1174484216
  NPD tax ID
• Lifespan Physician Group, Inc.

  dba Brown Health Medical Group

  • Emergency Medicine Physician
  • Providence, RI
  • NPI 1568325678
  NPD tax ID
• Lifespan Physician Group, Inc.

  dba Brown Health Medical Group

  • Neurology Physician
  • Providence, RI
  • NPI 1689536229
  NPD tax ID
• Lifespan Physician Group, Inc.

  dba Brown Health Medical Group

  • Ambulatory Surgical Clinic/Center
  • Providence, RI
  • NPI 1912856154
  NPD tax ID

Locations

Practitioners 60

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.

• Sohaib Ansari, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Riverside, RI
  • NPI 1437675287
  NPD
• Sarah Rose Baker-Carroll

  • Physician Assistant
  • Providence, RI
  • NPI 1093380917
  NPD
• Lauren Bakios

  • Urology Physician
  • Providence, RI
  • NPI 1912310301
  NPD
• Debasree Banerjee, M.D.

  • Pulmonary Disease Physician
  • Providence, RI
  • NPI 1164742490
  NPD
• Jay M. Baruch, M.D.

  • Emergency Medicine Physician
  • Providence, RI
  • NPI 1619950581
  NPD
• Lindsay Ann Bernardo

  • Pediatric Nurse Practitioner
  • Providence, RI
  • NPI 1790258655
  NPD
• Mark Brady, M.D.

  • Emergency Medicine Physician
  • Providence, RI
  • NPI 1265660294
  NPD
• Michael Brickley, PA

  • Physician Assistant
  • Providence, RI
  • NPI 1518527910
  NPD
• Gerardo P Carino, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Providence, RI
  • NPI 1205814357
  NPD
• Maya Cohen, M.D.

  • Pulmonary Disease Physician
  • Providence, RI
  • NPI 1780035972
  NPD
• Erika M D'Agata, M.D.

  • Infectious Disease Physician
  • Providence, RI
  • NPI 1669404190
  NPD
• Susan Elisabet Enck, PH.D.

  • Clinical Psychologist
  • Warwick, RI
  • NPI 1003170580
  NPD

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

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1215899869",
    "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": "600 Wampanoag Trl",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "RI",
            "postal_code": "029151511",
            "country_code": "US",
            "telephone_number": "401-649-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2814 Post Rd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028863169",
            "country_code": "US",
            "telephone_number": "401-649-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 Warren Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029141432",
            "country_code": "US",
            "telephone_number": "401-649-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "58 Amaral St",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "RI",
            "postal_code": "029152205",
            "country_code": "US",
            "telephone_number": "401-649-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Friendship St",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "RI",
            "postal_code": "028402209",
            "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"
        },
        {
            "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": "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": "101 Dudley St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029052401",
            "country_code": "US",
            "telephone_number": "401-274-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "738 Washington St",
            "address_purpose": "LOCATION",
            "city": "Attleboro",
            "state": "MA",
            "postal_code": "027036948",
            "country_code": "US",
            "telephone_number": "401-649-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 High Service Ave",
            "address_purpose": "LOCATION",
            "city": "North Providence",
            "state": "RI",
            "postal_code": "029045113",
            "country_code": "US",
            "telephone_number": "401-649-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1180 Smith St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029082034",
            "country_code": "US",
            "telephone_number": "401-649-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Centerville Rd Bldg E",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028864400",
            "country_code": "US",
            "telephone_number": "401-649-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Commerce St",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "RI",
            "postal_code": "028651186",
            "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": "235 Plain St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029053242",
            "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": "825 Chalkstone Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029084728",
            "country_code": "US",
            "telephone_number": "401-649-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "62 Amaral St",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "RI",
            "postal_code": "029152205",
            "country_code": "US",
            "telephone_number": "401-649-4970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFESPAN PHYSICIAN GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-02",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "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": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROWN HEALTH MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul D. Levinson, MD
• Jonathan A Leviss, MD
• Tiffany J Libby, MD
• David Lichtenstein, PH.D.
• Lifespan
• Lilia Romero-Bosch, LLC
• Rodger Bernard Lincoln, DC
• Yu Liu
• Living in Fulfilling Environments, Inc.
• Living in Fulfilling Environments, Inc.

• General Practice Physician in Riverside, RI
• Providers in Riverside, RI by specialty
• General Practice Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.