Individual provider Active NPI

Brian C Temple, DO

  • Plastic Surgery Physician
  • Providence, RI
National Provider Identifier
1508249640
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
DO01378 Issued in RI
Practice address
101 Plain Street, 4TH Floor
Cnemg Plastics and Reconstructive Surgery
Providence, RI 02903
Phone
(401) 736-4592
Fax
(401) 889-5008
NPI assigned
Jul 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X DO01378 RI Primary

Addresses

Primary practice location

101 Plain Street, 4TH Floor
Cnemg Plastics and Reconstructive Surgery
Providence, RI 02903

Mailing address

455 Toll Gate Rd
PRC and Credentialing
Warwick, RI 02886-2759
Phone (401) 273-0641

Other practice location 1

1405 S County Trl Ste 3B
East Greenwich, RI 02818-5081
Phone (401) 736-4592

Other practice location 2

101 Dudley St Dept Of
Providence, RI 02905-2401
Phone (401) 274-1122

Other practice location 3

1 Blackstone Street 2nd Floor
WIH Breast Health Center
Providence, RI 02905
Phone (401) 453-7520

Other practice location 4

15 Health Ln Ste 2-D
Warwick, RI 02886-2710
Phone (401) 736-4646

Other practice location 5

455 Toll Gate Rd Dept Of
Warwick, RI 02886-2759
Phone (401) 737-7010

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address btemple@kent.cernerdirect.carene.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230817002285 CT Practitioner - Plastic and Reconstructive Surgery 7517380173 Reassigns benefits to 1 organization
I20240722000463 RI Practitioner - Plastic and Reconstructive Surgery 7517380173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

Practice addresses (Care Compare)

101 Dudley St
Providence, RI 02905-2401
Phone (401) 274-1122

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO01378RIMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physicians LLC CurrentSince Sep 1, 2024 Accepting new patients
Yale University CurrentSince Jul 11, 2023 Accepting new patients
Yale University CurrentSince Jul 11, 2023 Accepting new patients
Affinity Physicians LLC. CurrentSince Jul 21, 2024 Accepting new patients

Locations

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

1405 S County Trl
Ste 3B
East Greenwich, RI 02818
Phone (401) 736-3731

101 Dudley St
Providence, RI 02905
Phone (401) 453-7950

101 Plain St
Fl 4
Providence, RI 02903
Phone (401) 729-2800

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

15 Health Ln
Ste 2D
Warwick, RI 02886
Phone (401) 736-4646

15 Health Ln
#2D
Warwick, RI 02886
Phone (401) 736-4646

Interoperability endpoints

  • Direct secure messaging: btemple2530616@direct.trinity-health.org
  • Direct secure messaging: btemple@direct.carene.org

Organizations & group practices 4

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 2

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": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1508249640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE RD",
            "address_2": "PRC AND CREDENTIALING",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862759",
            "telephone_number": "401-273-0641",
            "fax_number": "401-273-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PLAIN STREET, 4TH FLOOR",
            "address_2": "CNEMG PLASTICS AND RECONSTRUCTIVE SURGERY",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02903",
            "telephone_number": "401-736-4592",
            "fax_number": "401-889-5008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1405 S County Trl Ste 3B",
            "address_purpose": "LOCATION",
            "city": "East Greenwich",
            "state": "RI",
            "postal_code": "028185081",
            "country_code": "US",
            "telephone_number": "401-736-4592",
            "fax_number": "401-889-5008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Dudley St Dept Of",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029052401",
            "country_code": "US",
            "telephone_number": "401-274-1122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Blackstone Street 2nd Floor",
            "address_2": "WIH Breast Health Center",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "02905",
            "country_code": "US",
            "telephone_number": "401-453-7520",
            "fax_number": "401-453-7529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Health Ln Ste 2-D",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028862710",
            "country_code": "US",
            "telephone_number": "401-736-4646",
            "fax_number": "401-736-4546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Toll Gate Rd Dept Of",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028862759",
            "country_code": "US",
            "telephone_number": "401-737-7010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEMPLE",
        "first_name": "BRIAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "RI",
            "license": "DO01378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "btemple@kent.cernerdirect.carene.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "101 Plain Street, 4th Floor",
            "address_2": "CNEMG Plastics and Reconstructive Surgery",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "02903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.