Bruce Edward Famiglietti, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD07232 Issued in RI

Practice address

100 Kenyon Ave
Wakefield, RI 02879-4216

Phone

(401) 788-1590

Fax

(401) 788-1593

NPI assigned

Jun 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lifespan Physician Group, Inc.

  dba Brown Health Medical Group

  • General Practice Physician
  • Providence, RI
  • NPI 1407116643
  Medicare reassignment NPD
• Silver Spring Health Care Management, Inc.

  dba SCMG Hospitalists

  • Internal Medicine Physician
  • Wakefield, RI
  • NPI 1861561193
  Medicare reassignment NPD
• Lifespan Physician Group, Inc.

  dba Brown Health Medical Group

  • Emergency Medicine Physician
  • Providence, RI
  • NPI 1568325678
  NPD
• Silver Spring Health Care Management, Inc.

  dba SCMG Nursery

  • Pediatrics Physician
  • Wakefield, RI
  • NPI 1992224497
  NPD
• Heywood Medical Group Inc.

  • General Practice Physician
  • Gardner, MA
  • NPI 1699762286

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1356389571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028800229",
            "telephone_number": "401-788-3337",
            "fax_number": "401-788-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KENYON AVE",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794216",
            "telephone_number": "401-788-1590",
            "fax_number": "401-788-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAMIGLIETTI",
        "first_name": "BRUCE",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD07232",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "RI",
            "license": "MD07232",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9020130",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emergency Physician Associates of New England PC
• Todd Estus, PHARMD
• Jason Etting
• Evolvemd, LLC (SeaMist MedSpa)
• Emily Kay Fails, MSN, APRN, FNP-C
• Family Doctor Plus Ri LLC
• Nicole Fantoni, O.D.
• Ulana V. Farmer, M.D.
• Roger F Fazio, M.D.
• Ingrid Hafenscher Feder, MD

• Internal Medicine Physician in Wakefield, RI
• Providers in Wakefield, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.