LIFESPAN PHYSICIAN GROUP INC – NPI #1134078868
Clinic/Center

LIFESPAN PHYSICIAN GROUP INC is an AHC clinic located in EAST PROVIDENCE, RI. NPPES has assigned the NPI number 1134078868 to LIFESPAN PHYSICIAN GROUP INC on January 26, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Mar 20, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIFESPAN PHYSICIAN GROUP INC below.

NPI Profile for
LIFESPAN PHYSICIAN GROUP INC

NPI Number
1134078868
Enumeration Date

(about 4 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIFESPAN PHYSICIAN GROUP INC
Other name(s)
All associated names:
Doing Business As (dba)
BROWN HEALTH MEDICAL GROUP
Doing Business As (dba)
BROWN MEDICINE ENDOSCOPY CENTER
Primary location
62-68 AMARAL ST
EAST PROVIDENCE, RI 02915
Phone: (401) 649-4030 Fax: (401) 649-4031
Mailing address
15 LA SALLE SQ
PROVIDENCE, RI 02903-1814
Phone: Fax:
Organization Subpart
Yes - LIFESPAN PHYSICIAN GROUP INC is subpart of another organization.
Authorized Official
CHRISTINE RAWNSLEY
VP REVENUE CYCLE
Phone: (401) 444-6905
Updated
Certification Date
Mar 20, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.