Peter George Brassard, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

CMD06972 Issued in RI

Practice address

1053 S Broadway
East Providence, RI 02914-4729

Phone

(401) 438-5551

Fax

(401) 438-7272

NPI assigned

Aug 3, 2005

Last updated

Dec 2, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Family Practice

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Broadway Medical Treatment Center, LLC

  • Family Medicine Physician
  • East Providence, RI
  • NPI 1104010032
  Medicare reassignment Authorized official
• Armistice Urgent Care & Occupational Health, Inc.

  • Urgent Care Clinic/Center
  • Pawtucket, RI
  • NPI 1992857403

  Family Medicine

  NPD (past)
• Memorial Hospital

  • General Acute Care Hospital
  • Pawtucket, RI
  • NPI 1548696941

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417478400000",
    "number": "1609877489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 S BROADWAY",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029144729",
            "telephone_number": "401-438-5551",
            "fax_number": "401-438-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 S BROADWAY",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029144729",
            "telephone_number": "401-438-5551",
            "fax_number": "401-438-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASSARD",
        "first_name": "PETER",
        "middle_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2014-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "CMD06972",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G7396",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "150111",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Elizabeth Braciszewski, PH.D.
• Brain Injury Association of Rhode Island
• Emily Branch, MS, RD, LDN
• Elizabeth Branconnier, CRNA
• Sarah Brandwood
• Charles John Brex, MD
• Geana Brillon
• Shanan T Brissette, PT
• Broadway Medical Treatment Center, LLC
• Amanda Brogna, FNP

• Family Medicine Physician in East Providence, RI
• Providers in East Providence, RI by specialty
• Family Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.