BRIAN CLYNE MD NPI 1083638928

NPI Information

  • NPI: 1083638928
  • Provider Name: BRIAN CLYNE, MD
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 593 EDDY ST
    CLAVERICK 2
    PROVIDENCE, RI
    ZIP 02903
  • Phone: (401) 854-2504

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NPI Details

Brian Clyne, MD is an emergency medicine in Providence, RI with 28 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Brian Clyne, MD NPI is 1083638928. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduation Year:1997

The provider's business location address is:

593 EDDY ST
CLAVERICK 2
PROVIDENCE, RI
ZIP 02903-923
Phone: (401) 854-2504
Fax: (401) 854-2519

The NPI 1083638928 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Emergency department visit for problem of moderate severity (HCPCS:99283)
  • Critical care, first 30-74 minutes (HCPCS:99291)

The enumeration date for this NPI number is 7/26/2006 and was last updated on 9/17/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineMD10332RHODE ISLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1930093283OTHERRHODE ISLANDRAILROAD MEDICARE
212/14/2006OTHERRHODE ISLANDNHPRI
3939025129OTHERRHODE ISLANDRI MEDICARE GROUP NUMBER
412/29/2008OTHERRHODE ISLANDTUFTS
5H16186MEDICARE UPINRHODE ISLAND
67008267MEDICAIDRHODE ISLAND
71083638928OTHERRHODE ISLANDNPI
8007008267MEDICARE ID-TYPE UNSPECIFIEDRHODE ISLAND
90107964MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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