NPI 1215899869 · live from the CMS NPI Registry
Lifespan Physician Group, INC.
General Practice in Riverside, RI. National Provider Identifier 1215899869, active.
NPI record
| NPI | 1215899869 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | General Practice 208D00000X |
| Practice location | 375 Wampanoag Trl, Riverside, RI 02915 |
| Practice phone | 401-649-4000 |
| Mailing address | 15 La Salle Sq, Providence, RI 02903 |
| Enumerated | December 2, 2025 |
| Last updated | April 28, 2026 |
| Authorized official | Christine Rawnsley, Vp Revenue Cycle |
| Other names | Brown Health Medical Group |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| 213ES0131X | — | |
| Podiatrist | 213E00000X | — |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | — |
| General Practice primary | 208D00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.