Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LIFESPAN PHYSICIAN GROUP INC
NPI 1134078868
Clinic/Center - Ambulatory Surgical in East Providence, RI

Active since January 26, 2026
62 AMARAL STREET, EAST PROVIDENCE, RI 02915(401) 649-4030(401) 649-4031 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 16, 2026, Mar 20, 2026, Jan 26, 2026 (3 updates tracked since 2026).

About Lifespan Physician Group Inc NPPES

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

LIFESPAN PHYSICIAN GROUP INC (NPI 1134078868), doing business as Brown Health Medical Group, is a healthcare organization registered as an ambulatory surgical in East Providence, Rhode Island and active in the NPI registry since January 2026. The organization lists Donna Gordon, Director Professional Revenue Ops, as its authorized official.

NPPES Registry Identity

NPI1134078868
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameLIFESPAN PHYSICIAN GROUP INC
Location Address62 AMARAL STREETEast Providence, RI 02915
Mailing Address15 La Salle SqProvidence, RI 02903-1814
Fax(401) 649-4031
Organization SubpartYes
Authorized OfficialDonna GordonDirector Professional Revenue Ops · (401) 443-5107
Enumeration DateJanuary 26, 2026
Last NPPES UpdateJuly 16, 20263 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
NPI 1134078868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
62 AMARAL STREET, East Providence, RI 02915

Other Names 3

Doing Business AsBrown Health Medical Group
Doing Business AsBrown Medicine Endoscopy Center
Doing Business AsBrown Health Medical Group Endoscopy Center

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 Lifespan Physician Group Inc's NPI number?

The NPI number for Lifespan Physician Group Inc is 1134078868. It was assigned to this organization in the NPPES registry on January 26, 2026. The provider is doing business as Brown Health Medical Group, Brown Medicine Endoscopy Center and Brown Health Medical Group Endoscopy Center.

Where is Lifespan Physician Group Inc located?

Lifespan Physician Group Inc is located at 62 Amaral Street, East Providence, RI 02915. The listed phone number is (401) 649-4030.

What is Lifespan Physician Group Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Lifespan Physician Group Inc was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.