Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brown Medicine

Organization Allergy & Immunology Physician · NPI 1104564137

Brown Medicine is an Allergy & Immunology Physician in Riverside, Rhode Island. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
9

Practice location Address checks out

375 Wampanoag Trl
Riverside, RI 02915-2232
Phone: (401) 444-7793
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X
Allergy & Immunology Physician Taxonomy 207K00000X
Internal Medicine Physician Taxonomy 207R00000X
Infectious Disease Physician Taxonomy 207RI0200X
Rheumatology Physician Taxonomy 207RR0500X
Addiction Medicine (Preventive Medicine) Physician Taxonomy 2083A0300X
Medical Physician Assistant Taxonomy 363AM0700X
Nurse Practitioner Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1104564137
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donna Gordon — Rcm Director · (401) 443-5107
NPI enumeratedMay 20, 2022
Last updated in NPPESFebruary 14, 2024
Certification dateFebruary 14, 2024
Mailing addressDept 3010, Po Box 986524, Boston, MA 02298-6524

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