WEST BROADWAY CLINIC, P.C.
NPI 1457742587
Physician Assistant - Medical in Council Bluffs, IA

Q: What is West Broadway Clinic, P.C.'s NPI number?

The NPI number for West Broadway Clinic, P.C. is 1457742587. It was assigned to this organization in the NPPES registry on February 11, 2015.

Q: What is West Broadway Clinic, P.C.'s specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since February 11, 2015

1701 W BROADWAY, COUNCIL BLUFFS, IA 51501(712) 256-5600(712) 256-3440 Get Directions Write a Review

NPPES record last updated: February 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About West Broadway Clinic, P.c. NPPES

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

WEST BROADWAY CLINIC, P.C. (NPI 1457742587) is a healthcare organization registered as a medical in Council Bluffs, Iowa and active in the NPI registry since February 2015. The organization lists Kimberly N Spencer, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1457742587

Entity TypeOrganization

Primary Taxonomy363AM0700X

Legal Business NameWEST BROADWAY CLINIC, P.C.

Location Address1701 W BROADWAYCouncil Bluffs, IA 51501-3822

Mailing Address1701 W BroadwayCouncil Bluffs, IA 51501-3822 · (712) 256-5600 · Fax (712) 256-3440

Phone(712) 256-5600

Fax(712) 256-3440

Organization SubpartNo

Authorized OfficialKimberly N SpencerPhysician Assistant · (712) 256-5600

Enumeration DateFebruary 11, 2015

Last NPPES UpdateFebruary 16, 2015

✔ NPI 1457742587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in IA · 076849

1701 W BROADWAY, 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

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.

WEST BROADWAY CLINIC, P.C.

Physician Assistant (Medical)

1701 W BROADWAY
COUNCIL BLUFFS, IA 51501

Pottawattamie County (712) 256-5600

LAURA ROSE BADALUCCO PA-C

Physician Assistant (Medical)

1701 W BROADWAY
COUNCIL BLUFFS, IA 51501

Pottawattamie County (712) 256-5600

LAURA QUINNETTE PA-C

Physician Assistant (Medical)

1701 W BROADWAY
COUNCIL BLUFFS, IA 51501

Pottawattamie County (712) 256-5600

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, P.C.'s NPI number?

The NPI number for West Broadway Clinic, P.C. is 1457742587. It was assigned to this organization in the NPPES registry on February 11, 2015.

Where is West Broadway Clinic, P.C. located?

West Broadway Clinic, P.C. is located at 1701 W Broadway, Council Bluffs, IA 51501. The listed phone number is (712) 256-5600.

What is West Broadway Clinic, P.C.'s specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for West Broadway Clinic, P.C. was last updated on February 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.