Active NPI
Richard Michael Bianco, DO
- Family Medicine Physician
- East Providence, RI
National Provider Identifier
1649355991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 00313
- Practice address
- 450 Veterans Memorial Pkwy Unit 15B
East Providence, RI 02914-5300 - Phone
- (401) 434-3350
- Fax
- (401) 434-5230
- NPI assigned
- Oct 26, 2006
- Last updated
- Nov 30, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 00313 | RI | Primary |
Addresses
Primary practice location
450 Veterans Memorial Pkwy Unit 15B
East Providence, RI 02914-5300
Mailing address
31 Bullocks Point Ave Apt 6B
Riverside, RI 02915-5373
Phone (401) 439-6787
Other practice location 1
699 Willett Avenue
Riverside, RI 02915
Phone (401) 433-0600
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA97197 | Other | HARVARD PILGRIM | |
| 1711103 | Other | CIGNA | |
| 0005251176 | Other | AETNA | |
| 3033 | Other | RI | BCBS RIBS |
| 4136 | Other | NHPRI | |
| 404250 | Other | TUFTS | |
| 9003033 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00313 | RI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543536000000",
"number": "1649355991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 BULLOCKS POINT AVE APT 6B",
"city": "RIVERSIDE",
"state": "RI",
"postal_code": "029155373",
"telephone_number": "401-439-6787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 VETERANS MEMORIAL PKWY UNIT 15B",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029145300",
"telephone_number": "401-434-3350",
"fax_number": "401-434-5230"
}
],
"practiceLocations": [
{
"address_1": "699 Willett Avenue",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "RI",
"postal_code": "02915",
"country_code": "US",
"telephone_number": "401-433-0600",
"fax_number": "401-433-1390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIANCO",
"first_name": "RICHARD",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2018-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "RI",
"license": "00313",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA97197",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1711103",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005251176",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS RIBS",
"identifier": "3033",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHPRI",
"identifier": "4136",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "404250",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9003033",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.