NPIMap

Organization Active NPI

Lifespan Physician Group Inc

Doing business as Brown Health Medical Group

  • Dermatology Physician
  • Providence, RI
National Provider Identifier
1578424602
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
LIFESPAN PHYSICIAN GROUP INC
Doing business as
Brown Health Medical Group
Practice address
593 Eddy St Apc-10
Providence, RI 02903-4923
Phone
(401) 444-7959
Fax
(401) 444-7144
NPI assigned
Nov 19, 2025
Last updated
Apr 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Christine Rawnsley
Title
Vice President Revenue Cycle
Phone
(401) 444-6905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

593 Eddy St Apc-10
Providence, RI 02903-4923

Mailing address

15 La Salle SQ
Providence, RI 02903-1814

Other practice location 1

65 Village Square Dr Ste 201
South Kingstown, RI 02879-2569
Phone (401) 444-7959

Other practice location 2

101 Dudley St
Providence, RI 02905-2401
Phone (401) 444-7959

Other practice location 3

400 Bald Hill Rd Fl 2
Warwick, RI 02886-1617
Phone (401) 444-7959

Other practice location 4

375 Wampanoag Trl Ste 401
Riverside, RI 02915-2237
Phone (401) 444-7959

Other practice location 5

17 Wells St Ste 203
Westerly, RI 02891-2923
Phone (401) 348-0660

Other practice location 6

164 Summit Ave
Fain Bldg, Ste 2D
Providence, RI 02906-2853
Phone (401) 444-7959

Other practice location 7

167 Point St Ste 260
Providence, RI 02903-4771
Phone (401) 444-7959

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.

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

167 Point St
Ste 260
Providence, RI 02903
Phone (401) 443-5122

375 Wampanoag Trl
Ste 401
Riverside, RI 02915
Phone (401) 632-4455

65 Village Square Dr
Ste 201
South Kingstown, RI 02879
Phone (401) 444-7024

400 Bald Hill Rd
Fl 2
Warwick, RI 02886
Phone (401) 738-4323

Practitioners & affiliated clinicians

Practitioners 66

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 66

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": "1775088000000",
    "number": "1578424602",
    "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": "593 EDDY ST APC-10",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-7959",
            "fax_number": "401-444-7144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Village Square Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "South Kingstown",
            "state": "RI",
            "postal_code": "028792569",
            "country_code": "US",
            "telephone_number": "401-444-7959",
            "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": "401-444-7959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Bald Hill Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028861617",
            "country_code": "US",
            "telephone_number": "401-444-7959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "375 Wampanoag Trl Ste 401",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "RI",
            "postal_code": "029152237",
            "country_code": "US",
            "telephone_number": "401-444-7959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 Wells St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Westerly",
            "state": "RI",
            "postal_code": "028912923",
            "country_code": "US",
            "telephone_number": "401-348-0660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "164 Summit Ave",
            "address_2": "Fain Bldg, Ste 2D",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029062853",
            "country_code": "US",
            "telephone_number": "401-444-7959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "167 Point St Ste 260",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034771",
            "country_code": "US",
            "telephone_number": "401-444-7959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFESPAN PHYSICIAN GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-19",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "RAWNSLEY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "VICE PRESIDENT REVENUE CYCLE",
        "authorized_official_telephone_number": "401-444-6905"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "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 Apr 2, 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.