General Practice
LIFESPAN PHYSICIAN GROUP, INC.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1407116643 · enumerated 2012-05-22 · record updated 2025-10-07. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. PETER MARKELL, EVP & CFO · (401) 444-7914
Other names: BROWN HEALTH MEDICAL GROUP
Addresses and phones
- Mailing address 117 ELLENFIELD ST, SUITE 101, PROVIDENCE, RI, 02905-4513 (401) 444-6779 Fax (401) 444-6912 Google Maps Apple Maps OpenStreetMap
- Practice location 593 EDDY ST, PROVIDENCE, RI, 02903-4923 (401) 444-6779 Fax (401) 444-6912 Google Maps Apple Maps OpenStreetMap
Specialties
- Surgery 208600000X
- Surgery, Surgical Critical Care 2086S0102X
- Dietitian, Registered 133V00000X
- Colon & Rectal Surgery 208C00000X
- 2086S0129X 2086S0129X
- Optometrist 152W00000X
- Surgery, Trauma Surgery 2086S0127X
- Obstetrics & Gynecology 207V00000X
- Transplant Surgery 204F00000X
- Plastic Surgery 208200000X
- Surgery, Surgical Oncology 2086X0206X
- Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X
- Surgery, Pediatric Surgery 2086S0120X
- Anesthesiology, Critical Care Medicine 207LC0200X
- General Practice 208D00000X · Primary
In this directory
Locations and evidence
-
Practice location
PROVIDENCE, RI, 029034923
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.