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BROWN MEDICINE
NPI 1689626764
Internal Medicine in Riverside, RI

Active since May 17, 2006CLIA 41D0083287 · Waiver
375 WAMPANOAG TRL, RIVERSIDE, RI 02915(401) 649-4010 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 13, 2025, Feb 6, 2025, Jul 18, 2024 and 7 more (10 updates tracked since 2018).

About Brown Medicine NPPES

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

BROWN MEDICINE (NPI 1689626764) is a healthcare organization registered as an internal medicine in Riverside, Rhode Island and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026, maintains 2 additional practice locations, and lists Donna Gordon, Revenue Cycle Director, as its authorized official.

NPPES Registry Identity

NPI1689626764
Entity TypeOrganization
Primary Taxonomy207R00000X
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
Phone(401) 649-4010
Organization SubpartNo
Authorized OfficialDonna GordonRevenue Cycle Director · (401) 443-5107
Enumeration DateMay 17, 2006
Last NPPES UpdateFebruary 13, 202510 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1689626764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedAcupuncturistTaxonomy 171100000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedClinical Nurse Specialist · Psychiatric/Mental HealthTaxonomy 364SP0808X
375 WAMPANOAG TRL, Riverside, RI 02915
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1235 Plain St Ste 201Providence, RI 02905-3242 · Phone (401) 861-8830 · Fax (401) 351-2378
Location 243 Jefferson Blvd Ste 2Warwick, RI 02888-1078 · Phone (401) 941-2830 · Fax (401) 941-6886

Other Identifiers 2

OtherCA3681RI · Railroad
MedicaidRM07533RI

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 41D0083287

Brown Medicine · Warwick, RI
Active · expires Aug 31, 2026
CLIA Number41D0083287
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorStephen M. Scott MD
Laboratory Phone(401) 941-2830
Laboratory LocationBrown Medicine43 Jefferson Blvd Suite 2, Warwick, RI 02888
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Brown Medicine's NPI number?

The NPI number for Brown Medicine is 1689626764. It was assigned to this organization in the NPPES registry on May 17, 2006.

Where is Brown Medicine located?

Brown Medicine is located at 375 Wampanoag Trl, Riverside, RI 02915. The listed phone number is (401) 649-4010.

What is Brown Medicine's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Brown Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D0083287) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Brown Medicine accept?

Health plans from WellSense Health Plan list Brown Medicine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brown Medicine was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.