Active NPI
Brown Medicine
- Gastroenterology Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, RI
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
dba Brown Medicine Endoscopy Center
- Ambulatory Surgical Clinic/Center
- East Providence, RI
- NPI 1881101335
0446159776
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Endocrinology, Diabetes & Metabolism Physician
- Riverside, RI
- NPI 1104564137
O20040219000354
-
- Internal Medicine Physician
- Riverside, RI
- NPI 1689626764
O20040107000043, O20040219000354
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Riverside, RI
- NPI 1235517889
-
- Infectious Disease Physician
- Providence, RI
- NPI 1700830924
-
- Internal Medicine Physician
- Riverside, RI
- NPI 1174046916
Multi-Specialty
-
- Internal Medicine Physician
- Riverside, RI
- NPI 1831778851
-
- Internal Medicine Physician
- Providence, RI
- NPI 1346812872
Multi-Specialty
-
- Nephrology Physician
- Providence, RI
- NPI 1740776962
-
- Internal Medicine Physician
- Riverside, RI
- NPI 1346437878
-
- Pulmonary Disease Physician
- Providence, RI
- NPI 1558314757
-
- Family Nurse Practitioner
- Smithfield, RI
- NPI 1538718390
-
- Pulmonary Disease Physician
- Riverside, RI
- NPI 1477890754
-
- Sleep Medicine (Internal Medicine) Physician
- Riverside, RI
- NPI 1437675287
-
- Internal Medicine Physician
- Riverside, RI
- NPI 1992759260
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
- Holli Jean Brousseau, NURSE PRACTITIONER
- Jonathan P Brower, M.D.
- Brown Dermatology, Inc.
- Brown Emergency Medicine
- Brown Emergency Medicine
- Brown Neurology
- Brown University Health Services Pharmacy
- Brown University of Provedence State of Ri and Prov Plantaio (Brown University Student Health Center Pharmacy)
- Brown Urology, Inc. (NorthMain Radiation Oncology)
- Brown Urology, Inc. (Collyer Street Operatory)
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.