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BROWN MEDICINE
NPI 1104564137
Internal Medicine - Endocrinology, Diabetes & Metabolism in Riverside, RI

Active since May 20, 2022CLIA Certified · 3 labs
375 WAMPANOAG TRL, RIVERSIDE, RI 02915(401) 444-7793 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2022, May 20, 2022 (2 updates tracked since 2022).

About Brown Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROWN MEDICINE (NPI 1104564137) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Riverside, Rhode Island and active in the NPI registry since May 2022. The organization holds 3 active CLIA laboratory certificates and lists Donna Gordon, Rcm Director, as its authorized official.

NPPES Registry Identity

NPI1104564137
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameBROWN MEDICINE
Location Address375 WAMPANOAG TRLRiverside, RI 02915-2232
Mailing AddressDept 3010, Po Box 986524Boston, MA 02298-6524 · (401) 443-4992 · Fax (401) 537-7241
Phone(401) 444-7793
Organization SubpartNo
Authorized OfficialDonna GordonRcm Director · (401) 443-5107
Enumeration DateMay 20, 2022
Last NPPES UpdateFebruary 14, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2024
✔ NPI 1104564137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedAllergy & ImmunologyTaxonomy 207K00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
375 WAMPANOAG TRL, Riverside, RI 02915
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 41D0946559

Brown Medicine Kidney Disease And Hypertension · East Providence, RI
Active · expires May 27, 2028
CLIA Number41D0946559
Laboratory TypePhysician Office
Certificate Effective DateMay 28, 2026
Certificate Expiration DateMay 27, 2028
Laboratory DirectorSusie L. Hu
Laboratory Phone(401) 649-4060
Laboratory LocationBrown Medicine Kidney Disease And Hypertension375 Wampanoag Trail Ste 402, East Providence, RI 02915
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 41D2146344

Brown Medicine Endoscopy Center · East Providence, RI
Active · expires Mar 27, 2028
CLIA Number41D2146344
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 28, 2026
Certificate Expiration DateMarch 27, 2028
Laboratory DirectorRich D. Harlan
Laboratory Phone(401) 649-4970
Laboratory LocationBrown Medicine Endoscopy Center62 Amaral St, East Providence, RI 02915
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 41D2133421

Brown Medicine Endocrinology · East Providence, RI
Active · expires Jul 11, 2027
CLIA Number41D2133421
Laboratory TypePhysician Office
Certificate Effective DateJuly 12, 2025
Certificate Expiration DateJuly 11, 2027
Laboratory DirectorStephanie Araujo
Laboratory Phone(401) 649-4090
Laboratory LocationBrown Medicine Endocrinology375 Wampanoag Trail Ste 202B, East Providence, RI 02915
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN A LEVISS MD
Internal Medicine
375 WAMPANOAG TRL
RIVERSIDE, RI 02915
Providence County (401) 649-4020
THOMAS D DENUCCI M.D.
Internal Medicine (Gastroenterology)
375 WAMPANOAG TRL, SUITE 202A
RIVERSIDE, RI 02915
Providence County (401) 649-4030
MRIGANKA SINGH M.D.
Internal Medicine (Geriatric Medicine)
375 WAMPANOAG TRL
RIVERSIDE, RI 02915
Providence County (401) 649-4010
KRISTEN TILLQUIST DO
Internal Medicine (Nephrology)
375 WAMPANOAG TRL
RIVERSIDE, RI 02915
Providence County (401) 649-4060
DONNA MARIE RONDEAU-MARZULLO NP
Nurse Practitioner (Gerontology)
375 WAMPANOAG TRL, SUITE 102
RIVERSIDE, RI 02915
Providence County (401) 649-4010
DR. ANKUR SHAH M.D.
Internal Medicine (Nephrology)
375 WAMPANOAG TRL
RIVERSIDE, RI 02915
Providence County (401) 649-4060
REGINALD Y GOHH MD
Internal Medicine (Nephrology)
375 WAMPANOAG TRL, SUITE 302A
RIVERSIDE, RI 02915
Providence County (401) 649-4060
GABRIELLE HERMES BURKE NP
Nurse Practitioner (Family)
375 WAMPANOAG TRL
RIVERSIDE, RI 02915
Providence County (401) 649-4030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brown Medicine's NPI number?

The NPI number for Brown Medicine is 1104564137. It was assigned to this organization in the NPPES registry on May 20, 2022.

Where is Brown Medicine located?

Brown Medicine is located at 375 Wampanoag Trl, Riverside, RI 02915. The listed phone number is (401) 444-7793.

What is Brown Medicine's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Does Brown Medicine hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Brown Medicine was last updated on February 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.