NPI 1730827767 · live from the CMS NPI Registry
Brown Medicine
Internal Medicine, Gastroenterology in Providence, RI. National Provider Identifier 1730827767, active.
NPI record
| NPI | 1730827767 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 235 Plain St Ste 201, Providence, RI 02905 |
| Practice phone | 401-861-8830 |
| Mailing address | Dept 3010, Po Box 986524, Boston, MA 02298 |
| Enumerated | May 20, 2022 |
| Last updated | June 17, 2025 |
| Authorized official | Donna Gordon, Rcm Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Nephrology | 207RN0300X | — |
| Clinic/Center, Multi-Specialty | 261QM1300X | — |
| Podiatrist | 213E00000X | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Physician Assistant, Medical | 363AM0700X | — |
| Nurse Practitioner | 363L00000X | — |
| Nurse Practitioner, Family | 363LF0000X | — |
| Internal Medicine, Gastroenterology primary | 207RG0100X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.