Mark Maddox O'Brien, M.D. , M.P.H.

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

License

MD05818 Issued in RI

Practice address

6 Harrington Rd
Cranston, RI 02920-3080

Phone

(401) 462-2760

Fax

(401) 462-2757

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972726495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HARRINGTON RD",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029203080",
            "telephone_number": "401-462-2760",
            "fax_number": "401-462-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HARRINGTON RD",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029203080",
            "telephone_number": "401-462-2760",
            "fax_number": "401-462-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "MARK",
        "middle_name": "MADDOX",
        "name_prefix": "Dr.",
        "credential": "M.D. , M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "RI",
            "license": "MD05818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast Medical Equipment Inc
• Tyler Notarianni, LMHC
• Nourishing Health
• Alan R Nowick, DPM
• Kelly O'Brien, MA
• Margaret Sharlene O'Neill, RD,CDE
• Suzanne O'Shea Bordeleau, MA, CGS, MFT, LMHC
• Oaklawn Avenue Group Home
• Oaklawn Physical Therapy, Inc.
• Johanna L Obara, MSPT

• Developmental - Behavioral Pediatrics Physician in Cranston, RI
• Providers in Cranston, RI by specialty
• Developmental - Behavioral Pediatrics Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.