NPIMap

Individual provider Active NPI

Brian P Resnick, PA-C

  • Medical Physician Assistant
  • Providence, RI
National Provider Identifier
1851630230
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA00692 Issued in RI
Practice address
164 Summit Ave
Providence, RI 02906-2853
Phone
(401) 973-5961
NPI assigned
Feb 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA00692 RI Primary

Addresses

Primary practice location

164 Summit Ave
Providence, RI 02906-2853

Mailing address

548 Buttonwoods Ave
Warwick, RI 02886-8141
Phone (401) 228-5685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130711000422 RI Practitioner - Physician Assistant 4587804752 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Miriam HospitalGroup PAC ID 6901796408, shared by 11 NPIs, 178 clinicians

Practice addresses (Care Compare)

180 Corliss St
Providence, RI 02904-2602

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Miriam Hospital CurrentSince Apr 16, 2013 Accepting new patients
Rhode Island Hospital CurrentSince Mar 27, 2020 Accepting new patients
The Miriam Hospital Current Accepting new patients
Lifespan Physician Group, Inc. Medical CurrentSince Mar 27, 2020 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Mar 27, 2020 Accepting new patients
Rhode Island Hospital CurrentSince Mar 27, 2020 Accepting new patients
The Miriam Hospital CurrentSince Apr 16, 2013 Accepting new patients
The Miriam Hospital Medical CurrentSince Mar 27, 2020 Accepting new patients
Lifespan Corporation Current Accepting new patients

Locations

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

164 Summit Ave
Ste C
Providence, RI 02906
Phone (401) 793-2931

180 Corliss St
Ste E1
Providence, RI 02904
Phone (401) 793-2928

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

180 Corliss St
Ste F
Providence, RI 02904
Phone (401) 793-4715

1125 N Main St
Providence, RI 02904
Phone (401) 793-2928

593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280

Interoperability endpoints

  • Direct secure messaging: bresnick8342@brownhealth.medalliesdirect.net

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1851630230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 BUTTONWOODS AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028868141",
            "telephone_number": "401-228-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 SUMMIT AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062853",
            "telephone_number": "401-973-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESNICK",
        "first_name": "BRIAN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "RI",
            "license": "PA00692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.