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

Alex Etienne, MD

Individual provider Internal Medicine Physician · NPI 1447221866

Alex Etienne, MD is an Internal Medicine in Providence, Rhode Island. Graduated from Warren Alpert Medical School of Brown University in 1996, 30 years ago. Practices with Prospect Chartercare Rwmc, LLC, a 66-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
30
Trained at
Warren Alpert Medical School of Brown University
Licensed in
RI
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

825 Chalkstone Ave
Providence, RI 02908-4728
Phone: (401) 456-2363
Fax: (401) 456-6744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 345 Blackstone Blvd, Providence, RI 02906-4800 — (401) 455-6200

Specialties & licences

Addiction Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0401X · Licence MD11719 (RI)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD11719 (RI)
Hospitalist Physician Taxonomy 208M00000X · Licence MD11719 (RI)

Record details

NPI number1447221866
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 1, 2006
Last updated in NPPESMay 1, 2026
Certification dateMay 1, 2026
Mailing address825 Chalkstone Ave, Providence, RI 02908-4728

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesADDICTION MEDICINE
Medical schoolWARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduated 1996 (30 years in practice)
Group practice Prospect Chartercare Rwmc, Llc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence