BROADWAY FAMILY PRACTICE LLC
NPI 1184346090
Nurse Practitioner - Family in Littleton, CO

Active since September 16, 2022
7391 S COSTILLA ST, LITTLETON, CO 80120(720) 936-2011 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 12, 2022, Sep 16, 2022 (2 updates tracked since 2022).

About Broadway Family Practice Llc NPPES

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

BROADWAY FAMILY PRACTICE LLC (NPI 1184346090) is a healthcare organization registered as a family in Littleton, Colorado and active in the NPI registry since September 2022. The organization lists Morgan Broadway, Owner, as its authorized official.

NPPES Registry Identity

NPI1184346090
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBROADWAY FAMILY PRACTICE LLC
Location Address7391 S COSTILLA STLittleton, CO 80120-3928
Mailing Address7391 S Costilla StLittleton, CO 80120-3928
Organization SubpartNo
Authorized OfficialMorgan BroadwayOwner · (720) 936-2011
Enumeration DateSeptember 16, 2022
Last NPPES UpdateOctober 12, 20222 updates tracked since enumeration
NPPES CertifiedOctober 12, 2022
✔ NPI 1184346090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
7391 S COSTILLA ST, Littleton, CO 80120

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Broadway Family Practice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Broadway Family Practice LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1144730326
6169 S BALSAM WAY STE 200
Littleton, CO 80123
(720) 408-7736
✔ PECOS4.2 mi
Nurse Practitioner
NPI 1386341543
6169 S BALSAM WAY STE 200
Littleton, CO 80123
(720) 408-7736
✔ PECOS4.2 mi
Nurse Practitioner
NPI 1104780162
6169 S BALSAM WAY STE 200
Littleton, CO 80123
(720) 408-7736
✔ PECOS4.2 mi
Nurse Practitioner
NPI 1841740586
5920 MCINTYRE ST
Golden, CO 80403
(720) 434-4876
✔ PECOS17 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Family Practice LLC's NPI number?

The NPI number for Broadway Family Practice LLC is 1184346090. It was assigned to this organization in the NPPES registry on September 16, 2022.

Where is Broadway Family Practice LLC located?

Broadway Family Practice LLC is located at 7391 S Costilla St, Littleton, CO 80120. The listed phone number is (720) 936-2011.

What is Broadway Family Practice LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Broadway Family Practice LLC enrolled in Medicare?

Yes. Broadway Family Practice LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Broadway Family Practice LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Broadway Family Practice LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Broadway Family Practice LLC was last updated on October 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.