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BROWN EMERGENCY MEDICINE NPI 1962455022


NPI Information

NPI: 1962455022
Provider Name: BROWN EMERGENCY MEDICINE
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization

CLIA Number: 41D2221846

Address:
593 EDDY ST
CLAVERICK 2
PROVIDENCE, RI
ZIP 02903
Phone: (401) 444-4000
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BROWN EMERGENCY MEDICINE is an emergency medicine in Providence, RI. 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. BROWN EMERGENCY MEDICINE NPI is 1962455022. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

593 EDDY ST
CLAVERICK 2
PROVIDENCE, RI
ZIP 02903-923
Phone: (401) 444-4000
Fax: (401) 427-7795

The provider's authorized official is Jeremiah Schuur .
The authorized official title is Physician In Chief and has the following contact phone number (401) 444-5175.

The CLIA number assigned to this NPI record is 41D2221846 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 3/1/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207PP0204XEmergency MedicinePediatric Emergency MedicineNo
2207PS0010XEmergency MedicineSports MedicineNo
3208000000XPediatricsNo
42080P0204XPediatricsPediatric Emergency MedicineNo
5363A00000XPhysician AssistantNo
6363AM0700XPhysician AssistantMedicalNo
7363L00000XNurse PractitionerNo
8363LF0000XNurse PractitionerFamilyNo
9363LP0200XNurse PractitionerPediatricsNo
10207P00000XEmergency MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
104/15/2009OTHERRHODE ISLANDUNITED HEALTHCARE
2UE13998MEDICAIDRHODE ISLAND
3CB9584OTHERRHODE ISLANDRR MEDICARE
42232OTHERRHODE ISLANDNHPRI
51962455022OTHERRHODE ISLANDNPI
69784055OTHERRHODE ISLANDMA MEDICAID
7251295OTHERRHODE ISLANDBCBSRI

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.