NPI 1689626764 · live from the CMS NPI Registry
Brown Medicine
Internal Medicine in Riverside, RI. National Provider Identifier 1689626764, active.
NPI record
| NPI | 1689626764 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 375 Wampanoag Trl, Riverside, RI 02915 |
| Practice phone | 401-649-4010 |
| Mailing address | Dept 3010, Po Box 986524, Boston, MA 02298 |
| Enumerated | May 17, 2006 |
| Last updated | February 13, 2025 |
| Authorized official | Donna Gordon, Revenue Cycle Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acupuncturist | 171100000X | — |
| Family Medicine | 207Q00000X | — |
| Internal Medicine primary | 207R00000X | — |
| Internal Medicine, Critical Care Medicine | 207RC0200X | — |
| Internal Medicine, Endocrinology, Diabetes & Metabolism | 207RE0101X | — |
| Internal Medicine, Gastroenterology | 207RG0100X | — |
| Internal Medicine, Geriatric Medicine | 207RG0300X | — |
| Internal Medicine, Infectious Disease | 207RI0200X | — |
| Internal Medicine, Nephrology | 207RN0300X | — |
| Internal Medicine, Pulmonary Disease | 207RP1001X | — |
| Internal Medicine, Rheumatology | 207RR0500X | — |
| Internal Medicine, Sleep Medicine | 207RS0012X | — |
| 213ES0131X | — | |
| Nurse Practitioner | 363L00000X | — |
| Clinical Nurse Specialist, Psych/Mental Health | 364SP0808X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.