NPIMap

Individual provider Active NPI

Brian J Pickett, MD

  • Internal Medicine Physician
  • Cranston, RI
National Provider Identifier
1497828628
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD10932 Issued in RI
Practice address
750 Reservoir Ave
Cranston, RI 02910-4423
Phone
(401) 464-6617
Fax
(401) 464-6673
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD10932 RI Primary

Addresses

Primary practice location

750 Reservoir Ave
Cranston, RI 02910-4423

Mailing address

750 Reservoir Ave
Cranston, RI 02910-4423
Phone (401) 464-6617

Other identifiers 1

IdentifierTypeStateIssuer
7009982MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050216000660 RI Practitioner - Internal Medicine 3072565480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

268 Post Rd
Suite 203
Westerly, RI 02891-6601
Phone (401) 604-2530

3461 S County TRL
Suite 301
East Greenwich, RI 02818-1463
Phone (401) 471-6760

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD10932RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Spring Health Care Management, Inc. CurrentSince Nov 5, 2020 Accepting new patients
Silver Spring Health Care Management, Inc. Internal Medicine CurrentSince Nov 5, 2020 Accepting new patients
Silver Spring Health Care Management, Inc Past Accepting new patients

Locations

905 Pontiac Ave
Cranston, RI 02920
Phone (401) 464-6617

3461 S County Trl
Ste 301
East Greenwich, RI 02818
Phone (401) 471-6285

100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000

268 Post Rd
Ste 203
Westerly, RI 02891
Phone (401) 604-2530

Interoperability endpoints

  • Direct secure messaging: bpickett@scmg.gwaydirect.com

Organizations & group practices 3

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190592000000",
    "number": "1497828628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104423",
            "telephone_number": "401-464-6617",
            "fax_number": "401-464-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104423",
            "telephone_number": "401-464-6617",
            "fax_number": "401-464-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "BRIAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD10932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7009982",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.