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BROADWAY FAMILY CLINIC LLC
NPI 1427566694
Nurse Practitioner - Family in Bloomfield, MO

Active since January 22, 2018
612 STATE HIGHWAY 25 S, BLOOMFIELD, MO 63825(573) 803-3995(573) 803-5222 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 8, 2023, Feb 14, 2019, Aug 21, 2018 and 1 more (4 updates tracked since 2018).

About Broadway Family Clinic Llc NPPES

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

BROADWAY FAMILY CLINIC LLC (NPI 1427566694) is a healthcare organization registered as a family in Bloomfield, Missouri and active in the NPI registry since January 2018. The organization maintains a secondary practice location in Cape Girardeau and lists Melissa Jarrell, Office/billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1427566694
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBROADWAY FAMILY CLINIC LLC
Location Address612 STATE HIGHWAY 25 SBloomfield, MO 63825-9566
Mailing Address612 Hwy 25 SouthBloomfield, MO 63825-9566 · (573) 568-7377 · Fax (573) 568-7320
Phone(573) 803-3995
Fax(573) 803-5222
Organization SubpartNo
Authorized OfficialMelissa JarrellOffice/billing Supervisor · (573) 568-7377
Enumeration DateJanuary 22, 2018
Last NPPES UpdateAugust 8, 20234 updates tracked since enumeration
NPPES CertifiedAugust 7, 2023
✔ NPI 1427566694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2014044250
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 126560 (MO)
612 STATE HIGHWAY 25 S, Bloomfield, MO 63825
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Secondary Practice Location 1

Location 1714 Broadway StCape Girardeau, MO 63701 · Phone (573) 803-3995 · Fax (573) 803-5222

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

Other Providers at the Same Location NPPES 3

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

JOHN R ARMBRUSTER FNP
Nurse Practitioner (Family)
612 STATE HIGHWAY 25 S
BLOOMFIELD, MO 63825
Stoddard County (573) 803-3995
SHEILA ARMBRUSTER FNP-C
Nurse Practitioner
612 STATE HIGHWAY 25 S
BLOOMFIELD, MO 63825
Stoddard County (573) 803-3995
MRS. WANDA L HORN MHNP
Nurse Practitioner (Psychiatric/Mental Health)
612 STATE HIGHWAY 25 S
BLOOMFIELD, MO 63825
Stoddard County (573) 803-3995

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 Clinic LLC's NPI number?

The NPI number for Broadway Family Clinic LLC is 1427566694. It was assigned to this organization in the NPPES registry on January 22, 2018.

Where is Broadway Family Clinic LLC located?

Broadway Family Clinic LLC is located at 612 State Highway 25 S, Bloomfield, MO 63825. The listed phone number is (573) 803-3995.

What is Broadway Family Clinic LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Broadway Family Clinic LLC was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.