| 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 (9 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)This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| 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
