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

Lifespan Physician Group Inc

Organization Ambulatory Surgical Clinic/Center · NPI 1134078868

Lifespan Physician Group Inc is an Ambulatory Surgical Clinic/Center in East Providence, Rhode Island. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

62 Amaral St
East Providence, RI 02915
Phone: (401) 649-4030
Fax: (401) 649-4031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1134078868
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLifespan Physician Group Inc
Authorized official Donna Gordon — Director Professional Revenue Ops · (401) 443-5107
Other names Brown Health Medical Group; Brown Health Medical Group Endoscopy Center
NPI enumeratedJanuary 26, 2026
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026
Mailing address15 La Salle Sq, Providence, RI 02903-1814

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