| Name: | Brookside Medical Associates, P.C. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 11 Aug 2016 (8 years ago) |
| Identification Number: | 001665841 |
| ZIP code: | 02864 |
| County: | Providence County |
| Principal Address: | 106 NATE WHIPPLE HIGHWAY #101, CUMBERLAND, RI, 02864, USA |
| Purpose: | MEDICINE PRIMARY CARE OFFICE |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851848949 | 2016-09-06 | 2016-09-06 | 106 NATE WHIPPLE HWY, SUITE 101, CUMBERLAND, RI, 028641428, US | 106 NATE WHIPPLE HWY, SUITE 101, CUMBERLAND, RI, 028641428, US | |||||||||||||
|
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| Phone | +1 401-658-2020 |
Authorized person
| Name | LEIGH DOBBS |
| Role | OWNER |
| Phone | 4016581197 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA |
| Name | Role | Address |
|---|---|---|
| BRENT ASPLIN MD | DIR, PRES, SEC, TREAS, SHAREHOLDER | 1 DIAMOND HILL ROAD BERKELEY HEIGHTS, NJ 07922 USA |
| Number | Name | File Date |
|---|---|---|
| 202453832490 | Annual Report | 2024-05-03 |
| 202334857110 | Annual Report | 2023-05-01 |
| 202105606150 | Statement of Change of Registered/Resident Agent | 2021-12-01 |
| 202105234560 | Annual Report | 2021-11-22 |
| 202193535040 | Annual Report | 2021-03-03 |
| 202035741240 | Annual Report | 2020-03-02 |
| 201992139000 | Statement of Change of Registered/Resident Agent | 2019-05-09 |
| 201989538980 | Annual Report | 2019-03-29 |
| 201863130880 | Annual Report | 2018-04-30 |
| 201863131120 | Statement of Change of Registered/Resident Agent | 2018-04-30 |
Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State
