Provider Demographics
NPI:1205216389
Name:BRATMAN, RUSSELL (MD)
Entity Type:Individual
Prefix:
First Name:RUSSELL
Middle Name:
Last Name:BRATMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:375 WAMPANOAG TRAIL
Mailing Address - Street 2:SUITE 202B - ENDOCRINOLOGY
Mailing Address - City:EAST PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02915
Mailing Address - Country:US
Mailing Address - Phone:401-649-4090
Mailing Address - Fax:401-649-4091
Practice Address - Street 1:375 WAMPANOAG TRAIL
Practice Address - Street 2:SUITE 202B - ENDOCRINOLOGY
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02915-2234
Practice Address - Country:US
Practice Address - Phone:401-649-4090
Practice Address - Fax:401-649-4091
Is Sole Proprietor?:No
Enumeration Date:2015-06-04
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIMD16974207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism