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LIFESPAN PHYSICIAN GROUP, INC.
NPI 1215899869
General Practice in Riverside, RI

Active since December 02, 2025
375 WAMPANOAG TRL, RIVERSIDE, RI 02915(401) 649-4000 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 28, 2026, Dec 2, 2025 (2 updates tracked since 2025).

About Lifespan Physician Group, Inc. NPPES

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

LIFESPAN PHYSICIAN GROUP, INC. (NPI 1215899869), doing business as Brown Health Medical Group, is a healthcare organization registered as a general practice in Riverside, Rhode Island and active in the NPI registry since December 2025. The organization maintains 19 additional practice locations and lists Christine Rawnsley, Vp Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1215899869
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLIFESPAN PHYSICIAN GROUP, INC.
Location Address375 WAMPANOAG TRLRiverside, RI 02915-2232
Mailing Address15 La Salle SqProvidence, RI 02903-1814 · (401) 444-6779 · Fax (401) 444-6912
Phone(401) 649-4000
Organization SubpartNo
Authorized OfficialChristine RawnsleyVp Revenue Cycle · (401) 444-6905
Enumeration DateDecember 2, 2025
Last NPPES UpdateApril 28, 20262 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1215899869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPodiatristTaxonomy 213E00000X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X
375 WAMPANOAG TRL, Riverside, RI 02915
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Other Names 1

Doing Business AsBrown Health Medical Group

Secondary Practice Locations 19

Location 1600 Wampanoag TrlRiverside, RI 02915-1511 · Phone (401) 649-4000
Location 22814 Post RdWarwick, RI 02886-3169 · Phone (401) 649-4000
Location 3950 Warren Ave Ste 302East Providence, RI 02914-1432 · Phone (401) 649-4000
Location 458 Amaral StRiverside, RI 02915-2205 · Phone (401) 649-4000
Location 511 Friendship StNewport, RI 02840-2209 · Phone (401) 649-4000
Location 6164 Summit AveProvidence, RI 02906-2853 · Phone (401) 649-4000
Location 7593 Eddy StProvidence, RI 02903-4923 · Phone (401) 649-4000
Location 8245 Chapman St Ste 300Providence, RI 02905-4539 · Phone (401) 649-4000
Location 9101 Dudley StProvidence, RI 02905-2401 · Phone (401) 274-1100
Location 10738 Washington StAttleboro, MA 02703-6948 · Phone (401) 649-4000
Location 11200 High Service AveNorth Providence, RI 02904-5113 · Phone (401) 649-4000
Location 121180 Smith StProvidence, RI 02908-2034 · Phone (401) 649-4000
Location 13250 Centerville Rd Bldg EWarwick, RI 02886-4400 · Phone (401) 649-4000
Location 141 Commerce StLincoln, RI 02865-1186 · Phone (401) 649-4000
Location 151454 S County TrlEast Greenwich, RI 02818-1749 · Phone (401) 649-4000
Location 16235 Plain St Ste 201Providence, RI 02905-3242 · Phone (401) 649-4000
Location 17900 Douglas PikeSmithfield, RI 02917-1879 · Phone (401) 649-4000
Location 18825 Chalkstone AveProvidence, RI 02908-4728 · Phone (401) 649-4000
Location 1962 Amaral StRiverside, RI 02915-2205 · Phone (401) 649-4970

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

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 Lifespan Physician Group, Inc.'s NPI number?

The NPI number for Lifespan Physician Group, Inc. is 1215899869. It was assigned to this organization in the NPPES registry on December 2, 2025. The provider is doing business as Brown Health Medical Group.

Where is Lifespan Physician Group, Inc. located?

Lifespan Physician Group, Inc. is located at 375 Wampanoag Trl, Riverside, RI 02915. The listed phone number is (401) 649-4000.

What is Lifespan Physician Group, Inc.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Lifespan Physician Group, Inc. was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.