LIFESPAN PHYSICIAN GROUP, INC. - NPI 1407116643 - General Practice in Providence, RI

Q: What is Lifespan Physician Group, Inc.'s NPI number?

The NPI number for Lifespan Physician Group, Inc. is 1407116643. It was assigned to this organization in the NPPES registry on May 22, 2012. The provider is doing business as Brown Health Medical Group.

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

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

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About Lifespan Physician Group, Inc. NPPES

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

LIFESPAN PHYSICIAN GROUP, INC. (NPI 1407116643), doing business as Brown Health Medical Group, is a healthcare organization registered as a general practice in Providence, Rhode Island and active in the NPI registry since May 2012. The organization lists Peter K Markell, Evp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1407116643

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameLIFESPAN PHYSICIAN GROUP, INC.

Location Address593 EDDY STProvidence, RI 02903-4923

Mailing Address117 Ellenfield St, Suite 101Providence, RI 02905-4513 · (401) 444-6779 · Fax (401) 444-6912

Phone(401) 444-6779

Fax(401) 444-6912

Organization SubpartYesParent: Lifespan Corporation

Authorized OfficialPeter K MarkellEvp & Cfo · (401) 444-7914

Enumeration DateMay 22, 2012

Last NPPES UpdateOctober 7, 20256 updates tracked since enumeration

NPPES CertifiedOctober 7, 2025

✔ NPI 1407116643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ 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 ListedDietitian, RegisteredTaxonomy 133V00000X

Also ListedOptometristTaxonomy 152W00000X

Also ListedTransplant SurgeryTaxonomy 204F00000X

Also ListedAnesthesiology · Critical Care MedicineTaxonomy 207LC0200X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedPlastic SurgeryTaxonomy 208200000X

Also ListedSurgeryTaxonomy 208600000X

Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X

Also ListedSurgery · Pediatric SurgeryTaxonomy 2086S0120X

Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X

Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X

Also ListedColon & Rectal SurgeryTaxonomy 208C00000X

Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X

593 EDDY ST, Providence, RI 02903

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Other Names 1

Doing Business AsBrown Health Medical Group

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.

DR. KEITH-AUSTIN SCARFO D.O.

Anesthesiology

593 EDDY ST, APC 6
PROVIDENCE, RI 02903

Providence County (401) 444-3777

AILEEN HSUEH

Surgery

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-8450

RHODE ISLAND HOSPITAL

General Acute Care Hospital

593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903

Providence County (401) 444-7585

DR. GA HIE NAM M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-5057

EUGENIE ATALLAH

Psychiatry & Neurology (Neurology)

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 606-2645

BRIAN CAO MD

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 606-4286

BRET CAULFIELD

Physician Assistant

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-4000

JUNG HO GONG

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 793-2695

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 1407116643. It was assigned to this organization in the NPPES registry on May 22, 2012. The provider is doing business as Brown Health Medical Group.

Where is Lifespan Physician Group, Inc. located?

Lifespan Physician Group, Inc. is located at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-6779.

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 October 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.