Organization Active NPI

Brown Medicine

  • Gastroenterology Physician
  • Providence, RI
National Provider Identifier
1730827767
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
BROWN MEDICINE
Practice address
235 Plain St Ste 201
Providence, RI 02905-3242
Phone
(401) 861-8830
Fax
(401) 351-2378
NPI assigned
May 20, 2022
Last updated
Jun 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Donna Gordon
Title
RCM Director
Phone
(401) 443-5107

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Durable Medical Equipment & Medical Supplies 332B00000X
Medical Physician Assistant 363AM0700X
Nurse Practitioner 363L00000X
Family Nurse Practitioner 363LF0000X
Gastroenterology Physician 207RG0100X Primary
Nephrology Physician 207RN0300X
Podiatrist 213E00000X

Addresses

Primary practice location

235 Plain St Ste 201
Providence, RI 02905-3242

Mailing address

Dept 3010, PO Box 986524
Boston, MA 02298-6524
Phone (401) 443-4992

Other practice location 1

375 Wampanoag Trl
Riverside, RI 02915-2232
Phone (401) 649-4030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040107000043 MA Part B Supplier - Clinic/Group Practice 0446159776 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Attleboro, MA
O20040219000354 RI Part B Supplier - Clinic/Group Practice 0446159776 Receives reassigned benefits from 259 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: East Providence, RI; Warwick, RI; Smithfield, RI; Riverside, RI; Providence, RI; Newport, RI; Lincoln, RI; East Greenwich, RI
O20250430000384 RI DME Supplier - Physician - Podiatry 0446159776 Practice locations: Providence, RI

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

725 Reservoir Ave
Ste 305
Cranston, RI 02910
Phone (401) 773-3111

1454 S County Trl
Ste 1200
East Greenwich, RI 02818

950 Warren Ave
Ste 302
East Providence, RI 02914
Phone (401) 444-2701

142A Danielson Pike
Foster, RI 02825
Phone (401) 241-1924

1 Hoppin St
Ste 200
Providence, RI 02903
Phone (401) 444-5509

110 Lockwood St
Ste 116
Providence, RI 02903
Phone (401) 444-3575

164 Summit Ave
Ste B
Providence, RI 02906
Phone (401) 793-2928

164 Summit Ave
Ste E
Providence, RI 02906
Phone (401) 793-2928

2 Dudley St
Ste G95
Providence, RI 02905
Phone (401) 444-3355

285 Governor St
Ste 300
Providence, RI 02906
Phone (401) 228-3490

593 Eddy St
#7
Providence, RI 02903
Phone (401) 444-3565

593 Eddy St
#9
Providence, RI 02903
Phone (401) 444-5445

1275 Wampanoag Trl
Unit 200
Riverside, RI 02915
Phone (401) 433-9880

600 Wampanoag Trl
Riverside, RI 02915
Phone (401) 431-2180

41 Sanderson Rd
Smithfield, RI 02917
Phone (401) 349-3990

1 James P Murphy Industrial Hwy
West Warwick, RI 02893
Phone (401) 615-5538

Practitioners & affiliated clinicians

Practitioners 260

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 260

NPI Registry JSON

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1730827767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 3010, PO BOX 986524",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022986524",
            "telephone_number": "401-443-4992",
            "fax_number": "401-537-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 PLAIN ST STE 201",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029053242",
            "telephone_number": "401-861-8830",
            "fax_number": "401-351-2378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 Wampanoag Trl",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "RI",
            "postal_code": "029152232",
            "country_code": "US",
            "telephone_number": "401-649-4030",
            "fax_number": "401-649-4031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BROWN MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-20",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "RCM DIRECTOR",
        "authorized_official_telephone_number": "401-443-5107"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 17, 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.