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WEST BROADWAY CLINIC, PC
NPI 1407031230
Internal Medicine in Council Bluffs, IA

Active since December 28, 2007CLIA 16D1084332 · Waiver
16 S 17TH ST, COUNCIL BLUFFS, IA 51501(712) 256-5600 Get Directions Write a Review

NPPES record last updated: December 28, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About West Broadway Clinic, Pc NPPES

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

WEST BROADWAY CLINIC, PC (NPI 1407031230) is a healthcare organization registered as an internal medicine in Council Bluffs, Iowa and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through May 19, 2028 and lists Isam Elias Marar, President, as its authorized official.

NPPES Registry Identity

NPI1407031230
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWEST BROADWAY CLINIC, PC
Location Address16 S 17TH STCouncil Bluffs, IA 51501-3818
Mailing Address16 S 17th StCouncil Bluffs, IA 51501-3818 · (712) 256-5600
Phone(712) 256-5600
Organization SubpartNo
Authorized OfficialIsam Elias MararPresident · (712) 256-5600
Enumeration DateDecember 28, 2007
✔ NPI 1407031230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedFamily MedicineTaxonomy 207Q00000X
16 S 17TH ST, Council Bluffs, IA 51501
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

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 of Waiver 16D1084332

West Broadway Clinic, PC · Council Bluffs, IA
Active · expires May 19, 2028
CLIA Number16D1084332
Laboratory TypePhysician Office
Certificate Effective DateMay 20, 2026
Certificate Expiration DateMay 19, 2028
Laboratory DirectorIsam E. Marar
Laboratory Phone(712) 256-5600
Laboratory LocationWest Broadway Clinic, PC1701 West Broadway, Council Bluffs, IA 51501
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 West Broadway Clinic, PC's NPI number?

The NPI number for West Broadway Clinic, PC is 1407031230. It was assigned to this organization in the NPPES registry on December 28, 2007.

Where is West Broadway Clinic, PC located?

West Broadway Clinic, PC is located at 16 S 17th St, Council Bluffs, IA 51501. The listed phone number is (712) 256-5600.

What is West Broadway Clinic, PC's specialty?

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

Does West Broadway Clinic, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D1084332) is associated with this NPI, valid through May 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does West Broadway Clinic, PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 1 other insurer list West Broadway Clinic, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for West Broadway Clinic, PC was last updated on December 28, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.