Lifespan Physician Group, Inc.
NPI 1407116643 · General Practice Physician · Providence, RI
Provider details
- NPI number
- 1407116643
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Lifespan Corporation
- Organization subpart
- Yes
- Authorized official
- Peter Markell, Evp & Cfo(401) 444-7914
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
- Surgical Critical Care Physician2086S0102X
Allopathic & Osteopathic Physicians
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
- Colon & Rectal Surgery Physician208C00000X
Allopathic & Osteopathic Physicians
- Vascular Surgery Physician2086S0129X
Allopathic & Osteopathic Physicians
- Optometrist152W00000X
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Brown Health Medical Group
Registry dates
- Enumerated
- 2012-05-22
- Last updated
- 2025-10-07
- Certified
- 2025-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.