Broadway Medical Treatment Center, LLC
Family Medicine in East Providence, Rhode Island
1104010032- Practice location
- 1053 S Broadway, East Providence, RI 02914-4729
- Phone
- 401-438-5551
- Fax
- 401-438-7272
- Last updated
- September 4, 2007
Broadway Medical Treatment Center, LLC is a healthcare organization based in East Providence, RI. Broadway Medical Treatment Center, LLC practices in East Providence, RI. The NPI Number for Broadway Medical Treatment Center, LLC is 1104010032 and holds a License No. CMD 06972 (RI). The current practice location address for Broadway Medical Treatment Center, LLC is 1053 S Broadway, East Providence, RI 02914-4729 and can be reached out via phone at 401-438-5551 and via fax at 401-438-7272.
Provider Profile Details
- NPI Number
- 1104010032
- Provider Name
- Broadway Medical Treatment Center, LLC
- Provider Entity Type
- Organization
- Address
- 1053 S Broadway, East Providence, RI 02914-4729
- Phone Number
- 401-438-5551
- Fax Number
- 401-438-7272
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Peter George Brassard, MD · Physician / Owner · 401-438-5551
- Provider Enumeration Date
- September 4, 2007
- Last Update Date
- September 4, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1053 S Broadway
East Providence, RI 02914-4729 - City
- East Providence
- State
- Rhode Island
- Zip
- 02914-4729
- Phone Number
- 401-438-5551
- Fax Number
- 401-438-7272
Provider Business Mailing Address Details
- Address
- 1053 S Broadway
East Providence, RI 02914-4729 - City
- East Providence
- State
- RI
- Zip
- 02914-4729
- Phone Number
- 401-438-5551
- Fax Number
- 401-438-7272
License Information
- License Number
- CMD 06972
- License State
- RI
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near East Providence, RI
View all Family Medicine providers in East Providence →- Dr Michael C Souza, INCFamily Medicine · NPI 1114082591
- Dr. David E Leibowitz, DOFamily Medicine · NPI 1477570018
- Dr. Joyce A Alves, DOFamily Medicine · NPI 1205811635
- Dr. Karen R Smigel, MDFamily Medicine · NPI 1114905528
- Dr. Kimberly A Zeller, MDFamily Medicine · NPI 1578780060
- Dr. Manoj K Garg, DOFamily Medicine · NPI 1285610600
Frequently Asked Questions
What is the NPI number of Broadway Medical Treatment Center, LLC?
The NPI number of Broadway Medical Treatment Center, LLC is 1104010032. It was assigned on September 4, 2007 and is currently active in the NPPES registry.
What is the specialty of Broadway Medical Treatment Center, LLC?
Broadway Medical Treatment Center, LLC is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in RI under license number CMD 06972.
Where does Broadway Medical Treatment Center, LLC practice?
The practice location is 1053 S Broadway, East Providence, RI 02914-4729. The office can be reached at 401-438-5551 (phone) or 401-438-7272 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104010032 directly on the NPPES registry website.