NPIMap

Organization Active NPI

Lifespan Physician Group Inc

Doing business as Brown Health Medical Group

  • Urology Physician
  • Providence, RI
National Provider Identifier
1720949803
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
LIFESPAN PHYSICIAN GROUP INC
Doing business as
Brown Health Medical Group
Practice address
195 Collyer St Ste 201
Providence, RI 02904-1869
Phone
(401) 272-7799
NPI assigned
Nov 19, 2025
Last updated
Dec 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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
Urology Physician 208800000X NU Primary

Addresses

Primary practice location

195 Collyer St Ste 201
Providence, RI 02904-1869

Mailing address

15 La Salle SQ
Providence, RI 02903-1814
Phone (401) 444-6779

Other practice location 1

825 N Main St
Providence, RI 02904-5767
Phone (401) 383-5710

Other practice location 2

23 Powel Ave Ste 1
Newport, RI 02840-2671
Phone (401) 272-7799

Other practice location 3

827 N Main St Ste 4
Providence, RI 02904-5751
Phone (401) 383-5710

Other practice location 4

195 Collyer St Ste 104
Providence, RI 02904-1869
Phone (401) 272-7799

Other practice location 5

164 Summit Ave
Providence, RI 02906-2853
Phone (401) 272-7799

Other practice location 6

101 Dudley St
Providence, RI 02905-2401
Phone (401) 272-7799

Other practice location 7

2 Dudley St Ste 175
Providence, RI 02905-3246
Phone (401) 421-0710

Other practice location 8

593 Eddy St
Providence, RI 02903-4923
Phone (401) 272-7799

Other practice location 9

450 Veterans Memorial Pkwy Unit 14
East Providence, RI 02914-5300
Phone (401) 435-6600

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

450 Veterans Memorial Pkwy
Unit 14
East Providence, RI 02914
Phone (401) 435-6600

2 Dudley St
Ste 175
Providence, RI 02905
Phone (401) 421-0710

825 N Main St
Providence, RI 02904
Phone (401) 521-9700

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

Practitioners & affiliated clinicians

Practitioners 63

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 63

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": "1764633600000",
    "number": "1720949803",
    "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",
            "telephone_number": "401-444-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 COLLYER ST STE 201",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041869",
            "telephone_number": "401-272-7799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 N Main St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029045767",
            "country_code": "US",
            "telephone_number": "401-383-5710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23 Powel Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "RI",
            "postal_code": "028402671",
            "country_code": "US",
            "telephone_number": "401-272-7799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "827 N Main St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029045751",
            "country_code": "US",
            "telephone_number": "401-383-5710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "195 Collyer St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029041869",
            "country_code": "US",
            "telephone_number": "401-272-7799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "164 Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029062853",
            "country_code": "US",
            "telephone_number": "401-272-7799",
            "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": "401-272-7799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Dudley St Ste 175",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029053246",
            "country_code": "US",
            "telephone_number": "401-421-0710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "593 Eddy St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034923",
            "country_code": "US",
            "telephone_number": "401-272-7799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Veterans Memorial Pkwy Unit 14",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029145300",
            "country_code": "US",
            "telephone_number": "401-435-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFESPAN PHYSICIAN GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "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": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "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 Dec 2, 2025; 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.