BROADWAY MEDICAL INNOVATION, LLC
NPI 1467108514
Internal Medicine in Little River, SC

Q: What is Broadway Medical Innovation, LLC's NPI number?

The NPI number for Broadway Medical Innovation, LLC is 1467108514. It was assigned to this organization in the NPPES registry on February 28, 2022.

Q: What is Broadway Medical Innovation, LLC's specialty?

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

Active since February 28, 2022

100 WATER GRANDE BLVD, LITTLE RIVER, SC 29566(843) 655-0004 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 22, 2026, Feb 28, 2022 (2 updates tracked since 2022).

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About Broadway Medical Innovation, Llc NPPES

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

BROADWAY MEDICAL INNOVATION, LLC (NPI 1467108514) is a healthcare organization registered as an internal medicine in Little River, South Carolina and active in the NPI registry since February 2022. The organization lists Victor Aguin Melendez, Owner, as its authorized official.

NPPES Registry Identity

NPI1467108514

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameBROADWAY MEDICAL INNOVATION, LLC

Location Address100 WATER GRANDE BLVDLittle River, SC 29566

Mailing Address4016 River Oaks Dr Ste 6 Pmb 178Myrtle Beach, SC 29579-6674 · (843) 655-0004

Phone(843) 655-0004

Organization SubpartNo

Authorized OfficialVictor Aguin MelendezOwner · (843) 655-0004

Enumeration DateFebruary 28, 2022

Last NPPES UpdateApril 22, 20262 updates tracked since enumeration

NPPES CertifiedApril 22, 2026

✔ NPI 1467108514 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.

100 WATER GRANDE BLVD, Little River, SC 29566

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

Other Providers at the Same Location NPPES 7

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

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