Brady Geronimo Case (NPI# 1538384656, PAC ID# 7719246057) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1538384656 |
| PAC ID by PECOS | 7719246057 |
| Professional Enrollment ID | I20180113000037 |
| Full Name | Brady Geronimo Case |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP INC |
| Address |
1011 Veterans Memorial Pkwy Riverside RI 02915-5061 |
| Phone Number | 4014321000 |
| Gender | M |
| Medical School | HARVARD MEDICAL SCHOOL |
| Graduation Year | 2002 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 2567455082 |
| Number of Group Practice Members | 600 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 4014321000 | LIFESPAN PHYSICIAN GROUP INC |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP INC |
| Physicians | 560 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roy Souaid | Internal Medicine | Lifespan Physician Group Inc | 1500 Pontiac Ave, Suite 101, Cranston, RI 02920-4486 |
| Amritpal Singh Jawanda | Family Medicine | Lifespan Physician Group Inc | 639 Metacom Ave, Warren, RI 02885-2348 |
| Alisha Lakhani | Rheumatology | Lifespan Physician Group Inc | 407 E Ave, Suite 250, Pawtucket, RI 02860-5290 |
| Leah R Battista | Obstetrics/gynecology | Lifespan Physician Group Inc | 148 W River St, Suite 1g, Providence, RI 02904-2615 |
| Mahmoud Mowafy | Internal Medicine | Lifespan Physician Group Inc | 164 Summit Ave, Providence, RI 02906-2853 |
| Caroline Sizer | Physical Medicine and Rehabilitation | Lifespan Physician Group Inc | 765 Allens Ave, Suite 110, Providence, RI 02905-5443 |
| Christine Michele Leddy | Psychiatry | Lifespan Physician Group Inc | 11 Friendship St, Newport, RI 02840-2209 |
| Dana Siperstein | Psychiatry | Lifespan Physician Group Inc | 167 Point St, Providence, RI 02903-4771 |
| Maurice Francis Joyce Iii | Anesthesiology | Lifespan Physician Group Inc | 55 Lambert Lind Hwy, Warwick, RI 02886-1074 |
| Nikhil C Panda | Cardiac Electrophysiology | Lifespan Physician Group Inc | 19 Friendship St, Newport, RI 02840-2200 |
| Street Address |
1011 VETERANS MEMORIAL PKWY |
| City | RIVERSIDE |
| State | RI |
| Zip | 02915-5061 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina M Marini | Clinical Social Worker | Lifespan Physician Group Inc | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 |
| Karen T Cammuso | Psychologist, Clinical | Lifespan Physician Group Inc | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 |
| Daniel Moreno De Luca | Psychiatry | Lifespan Physician Group Inc | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 |
| Henry T Sachs Iii | Psychiatry | Lifespan Physician Group, Inc. | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 |
| Jennifer Jencks | Clinical Social Worker | Lifespan Physician Group, Inc. | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Penny Mclean-nowinski | Nurse Practitioner | Coastal Medical Inc | 1445 Wampanoag Trl, Suite 205, Riverside, RI 02915-1019 |
| James M Schwartz | Family Medicine | Coastal Medical Inc | 1445 Wampanoag Trl, Suite 205, Riverside, RI 02915-1019 |
| Kayla Whiting Barrett | Physical Therapy | Silver Fern Practice, LLC | 1235 Wampanoag Trl, Suite 5, Riverside, RI 02915-1231 |
| Erin Moss | Physical Therapy | Silver Fern Practice, LLC | 1235 Wampanoag Trl, Suite 5, Riverside, RI 02915-1231 |
| Katherine Hart | Physical Therapy | Silver Fern Practice, LLC | 1235 Wampanoag Trl, Suite 5, Riverside, RI 02915-1231 |
| Rose A Goulet | Clinical Social Worker | East Bay Community Action Program | 610 Wampanoag Trl, Riverside, RI 02915-1504 |
| Jasmine M Lucas | Clinical Social Worker | East Bay Community Action Program | 610 Wampanoag Trl, Riverside, RI 02915-1504 |
| Edward B Rush | Clinical Social Worker | East Bay Community Action Program | 610 Wampanoag Trl, Riverside, RI 02915-1504 |
| Cheryl A Delpadre | Clinical Social Worker | East Bay Community Action Program | 610 Wampanoag Trl, Riverside, RI 02915-1504 |
| Thomas L Huott | Podiatry | University Foot and Ankle Center Inc | 600 Wampanoag Trail, Suite D, East Providence, RI 02915-1511 |
| Find all physicians in zip 02915 | |||
| City | RIVERSIDE |
| Zip Code | 02915 |
| Specialty | PSYCHIATRY |
| City + Specialty | RIVERSIDE + PSYCHIATRY |
Please comment or provide details below to improve the information on Brady Geronimo Case.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.