BROWN MEDICINE – Internal Medicine Physician, NPI 1689626764
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BROWN MEDICINE
235 Plain St Ste 201
Providence, RI 029053242
Phone: (401) 861-8830
Fax: (401) 351-2378
Type: Location
43 Jefferson Blvd Ste 2
Warwick, RI 028881078
Phone: (401) 941-2830
Fax: (401) 941-6886
Type: Location
375 WAMPANOAG TRL
RIVERSIDE, RI 029152232
Phone: (401) 649-4010
Type: Location
110, Elm Street, Jewelry District, Providence, Providence County, Rhode Island, 02903, United States
PROVIDENCE, RI 029034626
Phone: (877) 771-7401
Fax: (401) 784-4902
Type: Mailing
Rhode Island Hospital, 593, Eddy Street, Downtown, Providence, Providence County, Rhode Island, 02903, United States
PROVIDENCE, RI 029034923
Phone: (401) 444-2532
Type: Location
DEPT 3010, PO BOX 986524
BOSTON, MA 022986524
Phone: (401) 443-4992
Fax: (401) 537-7241
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-02-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-10-31 (224 days ago).
Enrollment records
1
Earliest due date
2025-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040219000354 | O | Clinic/Group Practice | RI | 2025-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02905)
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