Allison Wentworth Brindle, MD
Individual provider Active NPI Pediatrics Physician · Providence, RI
NPI 1649206236 · NPPES record last updated Feb 18, 2014
Key facts
- NPI
- 1649206236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD14498 (RI)
- Practice address
- 593 Eddy St
Providence, RI 02903-4923 - Phone
- (401) 444-5980
- Fax
- (401) 444-3873
- NPI assigned
- Jun 24, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140408000396 | RI | Practitioner - Pediatric Medicine | 2365413796 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD14498 | RI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Hospital | Pediatrics | Current |
Accepting new patients |
| Rhode Island Hospital | Current |
Accepting new patients | |
| Meridia Medical Group, LLC | Past | Accepting new patients | |
| The Cleveland Clinic Foundation | Past | Accepting new patients | |
| Clinic Regional Physicians LLC | Pediatrics | Past | Accepting new patients |
| Rhode Island Hospital | Past | Accepting new patients |
Locations
1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000
593 Eddy St
Lowr
Providence, RI 02903
Phone (401) 444-4471
593 Eddy St
Providence, RI 02903
593 Eddy St
#122
Providence, RI 02903
Phone (401) 444-6195
1 A St
Providence, RI 02919
Phone (401) 444-5685
593 Eddy St
Ste 5
Providence, RI 02903
Phone (401) 444-3996
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD14498 | RI | Yes |
Addresses
Primary practice location
593 Eddy St
Providence, RI 02903-4923
Mailing address
593 Eddy St
Hasbro 122
Providence, RI 02903-4923
Phone (401) 444-5980
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD14498 | Other | RI | LICENSE |
Other names
- Allison Wentworth Brindle
Other providers in Providence, RI
- Alicia Brierley
- Rebecca Elizabeth Brierley
- Elizabeth M Briggs
- Samantha Brilhante
- A. Beverly Brindle
- Christopher Briody
- Victoria Ann Briody
- Normand Robert Brissette
- Pamela M Brissette
- Julia Britto
All providers in Providence, RI · Pediatrics Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.