Organization
COASTAL MEDICAL PHYSICIANS, INC.
Active
Parent organization
COASTAL MEDICAL PHYSICIANS, INC.
Other names
Brown Health Medical Group Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTAL MEDICAL PHYSICIANS, INC.
Authorized official
PETER K MARKELL (EVP & CFO)
(401) 444-7914
Entity
Organization
Contact information
Practice address
15 LASALLE SQUARE, PROVIDENCE, RI 02903-4754
(401) 444-4383
(401) 444-6912
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
111N00000X
Chiropractor
—
—
133V00000X
Registered Dietitian
—
—
207Q00000X
Family Medicine Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/15/2021
Last updated
04/01/2026
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