NPI 1346669512 · live from the CMS NPI Registry
Brian Mikolasko, MD MBA MS
Internal Medicine in Johnston, RI. National Provider Identifier 1346669512, active.
NPI record
| NPI | 1346669512 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 2109 Hartford Ave, Johnston, RI 02919 |
| Practice phone | 626-319-5932 |
| Enumerated | April 15, 2014 |
| Last updated | August 14, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | 463951 (PA) |
| Internal Medicine | 207R00000X | 149352 (CA) |
| Internal Medicine | 207R00000X | 276683 (MA) |
| Internal Medicine, Hospice and Palliative Medicine | 207RH0002X | 16379 (RI) |
| General Acute Care Hospital | 282N00000X | — |
| Internal Medicine primary | 207R00000X | 16379 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.