Healthcare Provider Details

I. General information

NPI: 1194013177
Provider Name (Legal Business Name): BRAD MICHAEL CIANO DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2011
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2295 DIAMOND HILL RD UNIT 1
CUMBERLAND RI
02864-5104
US

IV. Provider business mailing address

2295 DIAMOND HILL RD UNIT 1
CUMBERLAND RI
02864-5104
US

V. Phone/Fax

Practice location:
  • Phone: 401-769-5611
  • Fax: 401-769-6238
Mailing address:
  • Phone: 401-769-5611
  • Fax: 401-769-6238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberDPM00341
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: