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BROADWAY INTERNAL MEDICINE ASSOCIATES L.L.C.
NPI 1336106426
Internal Medicine in Columbia, MO

Active since May 01, 2006CLIA 26D0872866 · Microscopy
204 N KEENE ST, SUITE 100, COLUMBIA, MO 65201(573) 442-0320(573) 442-0421 Get Directions Write a Review

NPPES record last updated: June 25, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Broadway Internal Medicine Associates L.l.c. NPPES

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

BROADWAY INTERNAL MEDICINE ASSOCIATES L.L.C. (NPI 1336106426) is a healthcare organization registered as an internal medicine in Columbia, Missouri and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through July 7, 2027 and lists Douglas Eugene Vogt, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1336106426
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBROADWAY INTERNAL MEDICINE ASSOCIATES L.L.C.
Location Address204 N KEENE ST, SUITE 100Columbia, MO 65201-8102
Mailing Address204 N Keene St, Suite 100Columbia, MO 65201-8102 · (573) 442-0320 · Fax (573) 442-0421
Phone(573) 442-0320
Fax(573) 442-0421
Organization SubpartNo
Authorized OfficialDouglas Eugene VogtOwner/physician · (573) 442-0320
Enumeration DateMay 1, 2006
Last NPPES UpdateJune 25, 2014
✔ NPI 1336106426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
204 N KEENE ST, Columbia, MO 65201
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Other Identifiers 2

Medicare ID-Type Unspecified000012981MO
Medicaid503817504MO

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 Internal Medicine Associates L.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Broadway Internal Medicine Associates L.L.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Douglas Vogt, M.D.
Internal Medicine
NPI 1669430070
204 N KEENE ST SUITE 100
Columbia, MO 65201
(573) 442-0320
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 26D0872866

Broadway Internal Medicine Associates, LLC · Columbia, MO
Active · expires Jul 7, 2027
CLIA Number26D0872866
Laboratory TypePhysician Office
Certificate Effective DateJuly 8, 2025
Certificate Expiration DateJuly 7, 2027
Laboratory DirectorDoug E. Vogt
Laboratory Phone(573) 442-0320
Laboratory LocationBroadway Internal Medicine Associates, LLC204 North Keene Street, Ste 100, Columbia, MO 65201
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Internal Medicine Associates L.L.C.'s NPI number?

The NPI number for Broadway Internal Medicine Associates L.L.C. is 1336106426. It was assigned to this organization in the NPPES registry on May 1, 2006.

Where is Broadway Internal Medicine Associates L.L.C. located?

Broadway Internal Medicine Associates L.L.C. is located at 204 N Keene St Suite 100, Columbia, MO 65201. The listed phone number is (573) 442-0320.

What is Broadway Internal Medicine Associates L.L.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Broadway Internal Medicine Associates L.L.C. enrolled in Medicare?

Yes. Broadway Internal Medicine Associates L.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Broadway Internal Medicine Associates L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Broadway Internal Medicine Associates L.L.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Broadway Internal Medicine Associates L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 26D0872866) is associated with this NPI, valid through July 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Broadway Internal Medicine Associates L.L.C. was last updated on June 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.