NPIMap

Organization Active NPI

Lifespan Physician Group, Inc.

Doing business as Brown Health Medical Group

  • Ambulatory Surgical Clinic/Center
  • Providence, RI
National Provider Identifier
1912856154
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
LIFESPAN PHYSICIAN GROUP, INC.
Doing business as
Brown Health Medical Group
Brown Health Medical Group Outpatient Surgery Center
Practice address
195 Collyer St Ste 104
Providence, RI 02904-1869
Phone
(401) 276-2026
Fax
(401) 276-2025
NPI assigned
Jan 22, 2026
Last updated
Mar 20, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
LIFESPAN PHYSICIAN GROUP INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Authorized official

Name
Christine Rawnsley
Title
VP Revenue Cycle
Phone
(401) 444-6905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

195 Collyer St Ste 104
Providence, RI 02904-1869

Mailing address

15 La Salle SQ
Providence, RI 02903-1814

Other names 2

  • BROWN HEALTH MEDICAL GROUP Doing business as
  • BROWN HEALTH MEDICAL GROUP OUTPATIENT SURGERY CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
W Andrew Mackie PA C8 organizations share this tax ID, including this one
Part of
W Andrew Mackie PA C

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1769040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1912856154",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 COLLYER ST STE 104",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041869",
            "telephone_number": "401-276-2026",
            "fax_number": "401-276-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN PHYSICIAN GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFESPAN PHYSICIAN GROUP INC",
        "enumeration_date": "2026-01-22",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "RAWNSLEY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "401-444-6905"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROWN HEALTH MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BROWN HEALTH MEDICAL GROUP OUTPATIENT SURGERY CENTER",
            "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 Mar 20, 2026; 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.