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

Individual provider Physician Assistant · NPI 1568248151

Brianna Bloomer, PA is a Physician Assistant in Warwick, Rhode Island. Qualified in 2023, 3 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
3
Licensed in
RI
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

43 Jefferson Blvd
Warwick, RI 02888-1027
Phone: (401) 941-2830
Fax: (401) 941-6886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5151 Park Ave, Fairfield, CT 06825-1090 — (203) 371-7999
  • 17 Airport Rd, Warwick, RI 02889-1001 — (401) 606-2520

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01653 (RI)

Record details

NPI number1568248151
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 7, 2023
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025
Mailing addressDept 3010, Po Box 986524, Boston, MA 02298-6524

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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