Stefan Gravenstein, MD
Family Medicine, Geriatric Medicine in Providence, Rhode Island
1447224191- Practice location
- 593 Eddy St, Providence, RI 02903
- Phone
- 401-444-5248
- Fax
- 401-444-3397
- Last updated
- March 6, 2026
Stefan Gravenstein is a Family Medicine, Geriatric Medicine based in Providence, RI. Stefan Gravenstein practices in Providence, RI and has the professional credentials of MD. The NPI Number for Stefan Gravenstein is 1447224191 and holds a License No. MD12353 (RI). The current practice location address for Stefan Gravenstein is 593 Eddy St, Providence, RI 02903 and can be reached out via phone at 401-444-5248 and via fax at 401-444-3397.
Provider Profile Details
- NPI Number
- 1447224191
- Provider Name
- Stefan Gravenstein
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 593 Eddy St, Providence, RI 02903
- Phone Number
- 401-444-5248
- Fax Number
- 401-444-3397
- Primary Taxonomy
- Family Medicine, Geriatric Medicine · 207QG0300X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 16, 2006
- Last Update Date
- March 6, 2026
- Certification Date
- March 6, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 593 Eddy St
Providence, RI 02903 - City
- Providence
- State
- Rhode Island
- Zip
- 02903
- Phone Number
- 401-444-5248
- Fax Number
- 401-444-3397
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
- License Number (1)
- MD12353
- License State (1)
- RI
- Taxonomy (1)
- Internal Medicine, Geriatric Medicine · 207RG0300X
- License Number (2)
- MD12353
- License State (2)
- RI
- Taxonomy (2)
- Family Medicine, Geriatric Medicine · 207QG0300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine, Geriatric Medicine providers near Providence, RI
View all Family Medicine, Geriatric Medicine providers in Providence →- Careconnectmd Rhode Island PCFamily Medicine, Geriatric Medicine · NPI 1528897980
- Jennifer M Ritzau, MDFamily Medicine, Geriatric Medicine · NPI 1508863432
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- Patrick J Main, PMHNPNurse Practitioner, Psych/Mental Health · NPI 1952122996
- Kathie E Bollenbach, MMS, PA-CPhysician Assistant · NPI 1689677213
- Dr. Nishant R Shah, MDInternal Medicine, Cardiovascular Disease · NPI 1578717716
Frequently Asked Questions
What is the NPI number of Stefan Gravenstein, MD?
The NPI number of Stefan Gravenstein, MD is 1447224191. It was assigned on February 16, 2006 and is currently active in the NPPES registry.
What is the specialty of Stefan Gravenstein, MD?
Stefan Gravenstein, MD is registered under the primary taxonomy Family Medicine, Geriatric Medicine (code 207QG0300X), licensed in RI under license number MD12353.
Where does Stefan Gravenstein, MD practice?
The practice location is 593 Eddy St, Providence, RI 02903. The office can be reached at 401-444-5248 (phone) or 401-444-3397 (fax).
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 1447224191 directly on the NPPES registry website.