Organization Active NPI

Brian G Kwetkowski

Doing business as Dr Brian Kwetkowski DO

  • Family Medicine Physician
  • East Greenwich, RI
National Provider Identifier
1659913549
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BRIAN G KWETKOWSKI
Doing business as
Dr Brian Kwetkowski DO
Practice address
3461 S County TRL Ste 303
East Greenwich, RI 02818-1463
Phone
(401) 471-6510
Fax
(401) 471-6530
NPI assigned
Oct 11, 2019
Last updated
Nov 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Authorized official

Name
Brian G Kwetkowski, DO
Title
Owner/ Physician
Phone
(401) 471-6510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

3461 S County TRL Ste 303
East Greenwich, RI 02818-1463

Mailing address

3461 S County TRL Ste 303
East Greenwich, RI 02818-1463
Phone (401) 471-6510

Other names 1

  • Dr Brian Kwetkowski DO Doing business as

National Provider Directory

National Provider Directory

Locations

3461 S County Trl
Ste 303
East Greenwich, RI 02818
Phone (401) 471-6510

NPI Registry JSON

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573689600000",
    "number": "1659913549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3461 S COUNTY TRL STE 303",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181463",
            "telephone_number": "401-471-6510",
            "fax_number": "401-471-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 S COUNTY TRL STE 303",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181463",
            "telephone_number": "401-471-6510",
            "fax_number": "401-471-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN G KWETKOWSKI",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-11-14",
        "status": "A",
        "authorized_official_last_name": "KWETKOWSKI",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/ PHYSICIAN",
        "authorized_official_telephone_number": "401-471-6510",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Brian Kwetkowski DO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Greenwich, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.