LIFESPAN PHYSICIAN GROUP INC - NPI 1578424602 - Dermatology in Providence, RI

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

The NPI number for Lifespan Physician Group Inc is 1578424602. It was assigned to this organization in the NPPES registry on November 19, 2025. 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 Dermatology with taxonomy code 207N00000X.

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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 1578424602), doing business as Brown Health Medical Group, is a healthcare organization registered as a dermatology in Providence, Rhode Island and active in the NPI registry since November 2025. The organization maintains 7 additional practice locations and lists Christine Rawnsley, Vice President Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1578424602

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameLIFESPAN PHYSICIAN GROUP INC

Location Address593 EDDY ST APC-10Providence, RI 02903-4923

Mailing Address15 La Salle SqProvidence, RI 02903-1814

Phone(401) 444-7959

Fax(401) 444-7144

Organization SubpartNo

Authorized OfficialChristine RawnsleyVice President Revenue Cycle · (401) 444-6905

Enumeration DateNovember 19, 2025

Last NPPES UpdateApril 2, 20263 updates tracked since enumeration

NPPES CertifiedApril 2, 2026

✔ NPI 1578424602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

593 EDDY ST APC-10, Providence, RI 02903

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Other Names 1

Doing Business AsBrown Health Medical Group

Secondary Practice Locations 7

Location 165 Village Square Dr Ste 201South Kingstown, RI 02879-2569 · Phone (401) 444-7959

Location 2101 Dudley StProvidence, RI 02905-2401 · Phone (401) 444-7959

Location 3400 Bald Hill Rd Fl 2Warwick, RI 02886-1617 · Phone (401) 444-7959

Location 4375 Wampanoag Trl Ste 401Riverside, RI 02915-2237 · Phone (401) 444-7959

Location 517 Wells St Ste 203Westerly, RI 02891-2923 · Phone (401) 348-0660

Location 6164 Summit Ave, Fain Bldg, Ste 2DProvidence, RI 02906-2853 · Phone (401) 444-7959

Location 7167 Point St Ste 260Providence, RI 02903-4771 · Phone (401) 444-7959

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

STEPHEN ERNEST GLINICK MD

Dermatology