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BROAD AVENUE URGENT CARE
NPI 1164727285
Clinic/Center - Urgent Care in Gulfport, MS

Active since January 20, 2011
1104 BROAD AVE, SUITE B, GULFPORT, MS 39501(228) 314-1340(228) 314-1342 Get Directions Write a Review

NPPES record last updated: July 6, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Broad Avenue Urgent Care NPPES

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

BROAD AVENUE URGENT CARE (NPI 1164727285) is a healthcare organization registered as an urgent care in Gulfport, Mississippi and active in the NPI registry since January 2011. The organization lists Ronnie Ali, Owner, as its authorized official.

NPPES Registry Identity

NPI1164727285
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameBROAD AVENUE URGENT CARE
Location Address1104 BROAD AVE, SUITE BGulfport, MS 39501-2414
Mailing AddressPo Box 1248Ocean Springs, MS 39566-1248 · (228) 314-1340 · Fax (228) 314-1342
Phone(228) 314-1340
Fax(228) 314-1342
Organization SubpartNo
Authorized OfficialRonnie AliOwner · (228) 314-1340
Enumeration DateJanuary 20, 2011
Last NPPES UpdateJuly 6, 2011
✔ NPI 1164727285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
1104 BROAD AVE, Gulfport, MS 39501
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Other Providers at the Same Location NPPES 2

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

SOUTH MISSISSIPPI HEART AND VASCULAR INSTITUTE PLLC
Specialist
1104 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 343-4057
DR. MOHAMMED I AWAAD MD
Internal Medicine (Cardiovascular Disease)
1104 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 388-6500

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 Broad Avenue Urgent Care's NPI number?

The NPI number for Broad Avenue Urgent Care is 1164727285. It was assigned to this organization in the NPPES registry on January 20, 2011.

Where is Broad Avenue Urgent Care located?

Broad Avenue Urgent Care is located at 1104 Broad Ave Suite B, Gulfport, MS 39501. The listed phone number is (228) 314-1340.

What is Broad Avenue Urgent Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

When was this NPI record last updated?

The NPPES record for Broad Avenue Urgent Care was last updated on July 6, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.