BROWN MEDICINE
NPI 1467190496
Psychologist - Clinical in Riverside, RI

Active since May 20, 2022
375 WAMPANOAG TRL, RIVERSIDE, RI 02915(401) 649-4020(401) 649-4021 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 16, 2023, Apr 5, 2023, Aug 10, 2022 and 1 more (4 updates tracked since 2022).

About Brown Medicine NPPES

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

BROWN MEDICINE (NPI 1467190496) is a healthcare organization registered as a clinical in Riverside, Rhode Island and active in the NPI registry since May 2022. The organization lists Donna Gordon, Rcm Director, as its authorized official.

NPPES Registry Identity

NPI1467190496
Entity TypeOrganization
Primary Taxonomy103TC0700X
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
Fax(401) 649-4021
Organization SubpartNo
Authorized OfficialDonna GordonRcm Director · (401) 443-5107
Enumeration DateMay 20, 2022
Last NPPES UpdateJanuary 18, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2024
✔ NPI 1467190496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
375 WAMPANOAG TRL, Riverside, RI 02915

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brown Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

256

Medicare enrollment records show 256 clinicians reassign Medicare billing to Brown Medicine, which bills Medicare for the services they deliver. Of these, 107 practice at this address and 235 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 18

Internal Medicine97
Infectious Disease31
Pulmonary Disease29
Nurse Practitioner28
Nephrology15
Endocrinology10
Geriatric Medicine9
Gastroenterology8
10 other specialties29

Nearest to this location (20)

See all 256
Internal Medicine
NPI 1235517889
375 WAMPANOAG TRL
Riverside, RI 02915
(401) 649-4010
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1174046916
375 WAMPANOAG TRL
Riverside, RI 02915
(401) 649-4050
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1477890754
375 WAMPANOAG TRL
Riverside, RI 02915
(401) 649-4070
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1437675287
375 WAMPANOAG TRL
Riverside, RI 02915
(401) 649-4070
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1184313686
375 WAMPANOAG TRL
Riverside, RI 02915
(401) 649-4010
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1285765792
375 WAMPANOAG TRL
Riverside, RI 02915
(401) 649-4090
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1205216389
375 WAMPANOAG TRL
Riverside, RI 02915
(401) 649-4090
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1073284311
375 WAMPANOAG TRL
Riverside, RI 02915
(401) 649-4030
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1821511445
375 WAMPANOAG TRL
Riverside, RI 02915
(401) 649-4080
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1114210267
375 WAMPANOAG TRL
Riverside, RI 02915
(401) 649-4030
✔ PECOS✔ Accepts MedicareSame address
Geriatric Medicine
NPI 1679687289
375 WAMPANOAG TRL
Riverside, RI 02915
(401) 649-4010
✔ PECOSSame address
Nephrology
NPI 1083651301
375 WAMPANOAG TRL
Riverside, RI 02915
(401) 649-4060
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1790078947
375 WAMPANOAG TRL STE 302A
Riverside, RI 02915
(401) 649-4060
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1083136428
375 WAMPANOAG TRL
Riverside, RI 02915
(401) 649-4040
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1316981988
375 WAMPANOAG TRL
Riverside, RI 02915
(401) 649-4070
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1235669474
375 WAMPANOAG TRL
Riverside, RI 02915
(401) 649-4030
✔ PECOS✔ Accepts MedicareSame address
Sleep Medicine
NPI 1699715813
375 WAMPANOAG TRL
Riverside, RI 02915
(401) 649-4070
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1306577275
375 WAMPANOAG TRL
Riverside, RI 02915
(401) 649-4020
✔ PECOS✔ Accepts MedicareSame address
Geriatric Medicine
NPI 1447247788
375 WAMPANOAG TRL
Riverside, RI 02915
(401) 649-4000
✔ PECOS✔ Accepts MedicareSame address
Allergy/Immunology
NPI 1790712545
375 WAMPANOAG TRL
Riverside, RI 02915
(401) 642-4240
✔ PECOS✔ Accepts MedicareSame address
See all 256 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1467190496. 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) 649-4020.

What is Brown Medicine's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Brown Medicine enrolled in Medicare?

Yes. Brown Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brown Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 256 clinicians in 18 Medicare specialties reassign their Medicare billing to Brown Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (97), Infectious Disease (31) and Pulmonary Disease (29). Of these, 107 practice at this address and 235 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Brown Medicine was last updated on January 18, 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.