Lifespan Physician Group, INC.
General Practice in Riverside, Rhode Island
1215899869- Practice location
- 375 Wampanoag Trl, Riverside, RI 02915-2232
- Phone
- 401-649-4000
- Fax
- —
- Last updated
- April 28, 2026
Lifespan Physician Group, INC. is a healthcare organization based in Riverside, RI. Lifespan Physician Group, INC. practices in Riverside, RI. The NPI Number for Lifespan Physician Group, INC. is 1215899869. The current practice location address for Lifespan Physician Group, INC. is 375 Wampanoag Trl, Riverside, RI 02915-2232 and can be reached out via phone at 401-649-4000.
Provider Profile Details
- NPI Number
- 1215899869
- Provider Name
- Lifespan Physician Group, INC.
- Provider Entity Type
- Organization
- Address
- 375 Wampanoag Trl, Riverside, RI 02915-2232
- Phone Number
- 401-649-4000
- Primary Taxonomy
- General Practice · 208D00000X
- Organization Subpart
- No
- Authorized Official
- Christine Rawnsley · Vp Revenue Cycle · 401-444-6905
- Other Names
- Brown Health Medical Group (Doing Business As)
- Provider Enumeration Date
- December 2, 2025
- Last Update Date
- April 28, 2026
- Certification Date
- April 28, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 375 Wampanoag Trl
Riverside, RI 02915-2232 - City
- Riverside
- State
- Rhode Island
- Zip
- 02915-2232
- Phone Number
- 401-649-4000
Provider Business Mailing Address Details
- Address
- 15 La Salle Sq
Providence, RI 02903-1814 - City
- Providence
- State
- RI
- Zip
- 02903-1814
- Phone Number
- 401-444-6779
- Fax Number
- 401-444-6912
License Information
- Taxonomy (2)
- Podiatrist · 213E00000X
- Taxonomy (3)
- Podiatrist, Foot & Ankle Surgery · 213ES0103X
- Taxonomy (4)
- General Practice · 208D00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other General Practice providers near Riverside, RI
View all General Practice providers in Riverside →- Mr. Matthew J Smith, LICSWSocial Worker, Clinical · NPI 1588773287
- Brittany K Fevrier, NPNurse Practitioner, Family · NPI 1598919219
- Sumera Bukhari, MDInternal Medicine · NPI 1467813279
- Ms. Amanda L Tiburcio, RNRegistered Nurse · NPI 1922950898
- Bryce Perler, MDInternal Medicine, Gastroenterology · NPI 1538698253
- Kayla N Mcgloin, NPNurse Practitioner · NPI 1629648597
Frequently Asked Questions
What is the NPI number of Lifespan Physician Group, INC.?
The NPI number of Lifespan Physician Group, INC. is 1215899869. It was assigned on December 2, 2025 and is currently active in the NPPES registry.
What is the specialty of Lifespan Physician Group, INC.?
Lifespan Physician Group, INC. is registered under the primary taxonomy General Practice (code 208D00000X).
Where does Lifespan Physician Group, INC. practice?
The practice location is 375 Wampanoag Trl, Riverside, RI 02915-2232. The office can be reached at 401-649-4000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215899869 directly on the NPPES registry website.