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BROADWAY MEDICAL TREATMENT CENTER, LLC
NPI 1104010032
Family Medicine in East Providence, RI

Active since September 04, 2007
1053 S BROADWAY, EAST PROVIDENCE, RI 02914(401) 438-5551(401) 438-7272 Get Directions Write a Review

NPPES record last updated: September 4, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broadway Medical Treatment Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROADWAY MEDICAL TREATMENT CENTER, LLC (NPI 1104010032) is a healthcare organization registered as a family medicine in East Providence, Rhode Island and active in the NPI registry since September 2007. The organization lists Peter George Brassard, Physician / Owner, as its authorized official.

NPPES Registry Identity

NPI1104010032
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBROADWAY MEDICAL TREATMENT CENTER, LLC
Location Address1053 S BROADWAYEast Providence, RI 02914-4729
Mailing Address1053 S BroadwayEast Providence, RI 02914-4729 · (401) 438-5551 · Fax (401) 438-7272
Phone(401) 438-5551
Fax(401) 438-7272
Organization SubpartNo
Authorized OfficialPeter George BrassardPhysician / Owner · (401) 438-5551
Enumeration DateSeptember 4, 2007
✔ NPI 1104010032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in RI · CMD 06972
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1053 S BROADWAY, East Providence, RI 02914
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PETER GEORGE BRASSARD M.D.
Family Medicine
1053 S BROADWAY
EAST PROVIDENCE, RI 02914
Providence County (401) 438-5551

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broadway Medical Treatment Center, LLC's NPI number?

The NPI number for Broadway Medical Treatment Center, LLC is 1104010032. It was assigned to this organization in the NPPES registry on September 4, 2007.

Where is Broadway Medical Treatment Center, LLC located?

Broadway Medical Treatment Center, LLC is located at 1053 S Broadway, East Providence, RI 02914. The listed phone number is (401) 438-5551.

What is Broadway Medical Treatment Center, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Broadway Medical Treatment Center, LLC was last updated on September 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.