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

Julie L Roth, MD

Individual provider Clinical Neurophysiology Physician · NPI 1063673713

Julie L Roth, MD is a Neurology in Providence, Rhode Island. Graduated from Warren Alpert Medical School of Brown University in 2004, 22 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
22
Trained at
Warren Alpert Medical School of Brown University
Licensed in
RI
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

593 Eddy St APC-5
Providence, RI 02903-4923
Phone: (401) 444-3032
Fax: (401) 444-3205
Show map & directions

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

Specialties & licences

Clinical Neurophysiology Physician (primary) Taxonomy 2084N0600X · Licence MD12830 (RI)
Neurology Physician Taxonomy 2084N0400X · Licence MD12830 (RI)

Record details

NPI number1063673713
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2008
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025
Mailing address15 La Salle Sq, Providence, RI 02903-1814

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolWARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduated 2004 (22 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Providence