NPI 1366486102 · live from the CMS NPI Registry
Brown Neurology
Psychiatry & Neurology, Neurology in Providence, RI. National Provider Identifier 1366486102, active.
NPI record
| NPI | 1366486102 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 593 Eddy Street, Apc 5, Providence, RI 02903 |
| Practice phone | 401-444-3032 |
| Mailing address | 110 Elm St Fl 1, Providence, RI 02903 |
| Enumerated | June 15, 2006 |
| Last updated | May 22, 2025 |
| Authorized official | Jessica Domingos, Credentialing Specialist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.