Healthcare Provider Details

I. General information

NPI: 1770407355
Provider Name (Legal Business Name): BRYNN SPIELMAN OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

891 WESTMINSTER ST
PROVIDENCE RI
02903-4020
US

IV. Provider business mailing address

9 MUSKET RD
LINCOLN RI
02865-3414
US

V. Phone/Fax

Practice location:
  • Phone: 401-331-7850
  • Fax:
Mailing address:
  • Phone: 203-856-2202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: