Provider Demographics
NPI:1952391567
Name:MURPHY, BRIAN L (MD)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:L
Last Name:MURPHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 METRO CENTER BLVD STE 2000
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-1785
Mailing Address - Country:US
Mailing Address - Phone:401-432-2520
Mailing Address - Fax:401-453-8220
Practice Address - Street 1:125 METRO CENTER BLVD STE 2000
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-1785
Practice Address - Country:US
Practice Address - Phone:401-432-2520
Practice Address - Fax:401-453-8220
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1514722085R0202X
RI97502085R0202X
RIMD097502085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
003111507OtherCT MED ASSISTANCE
16 00203OtherUNITED HEALTH PLANS
720074501OtherCIGNA
007006441OtherHOSPITAL PIN
000000001988OtherNHPRI
7006438OtherRI MEDICAL ASSISTANCE
009750OtherBLUE SHIELD
240773OtherRIH PILGRIM
300085643OtherRAILROAD MEDICARE
3159647OtherMASSMEDICAID
3159647OtherHEALTHY START
402605OtherBLUE CHIP
758590OtherTUFTS
240773OtherRIH PILGRIM
007006441OtherHOSPITAL PIN