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BROADWAY CLINIC INC
NPI 1548370547
Family Medicine in Aberdeen, WA

Active since August 30, 2006
104 W 4TH ST, SUITE # 105, ABERDEEN, WA 98520(360) 538-7292(360) 533-2566 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Broadway Clinic Inc NPPES

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

BROADWAY CLINIC INC (NPI 1548370547) is a healthcare organization registered as a family medicine in Aberdeen, Washington and active in the NPI registry since August 2006. The organization lists Antoine Douglass Johnson, Family Medicine Phyician Ceo Broawa, as its authorized official.

NPPES Registry Identity

NPI1548370547
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBROADWAY CLINIC INC
Location Address104 W 4TH ST, SUITE # 105Aberdeen, WA 98520-3932
Mailing AddressPo Box 149Aberdeen, WA 98520-0063 · (360) 538-7292 · Fax (360) 533-2566
Phone(360) 538-7292
Fax(360) 533-2566
Organization SubpartNo
Authorized OfficialAntoine Douglass JohnsonFamily Medicine Phyician Ceo Broawa · (360) 538-7292
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1548370547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
104 W 4TH ST, Aberdeen, WA 98520
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Other Identifiers 1

Medicaid7109903WA

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

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.

ALAINA HANSEN DMD
Dentist
104 W 4TH ST
ABERDEEN, WA 98520
Grays Harbor County (360) 532-7512
PARKER KIMBALL WOOD DDS
Dentist
104 W 4TH ST
ABERDEEN, WA 98520
Grays Harbor County (360) 532-7512
E. LORI HENKEL LMP
Massage Therapist
104 W 4TH ST, #106
ABERDEEN, WA 98520
Grays Harbor County (360) 533-7276
GWYN D TARRANCE LMP
Massage Therapist
104 W 4TH ST, #106
ABERDEEN, WA 98520
Grays Harbor County (360) 533-7276
MR. MARC R TOMLINSON DDS PS
Dentist
104 W 4TH ST, SUITE E
ABERDEEN, WA 98520
Grays Harbor County (360) 532-7512
ADAM P CRAMER PLLC
Clinic/Center (Dental)
104 W 4TH ST
ABERDEEN, WA 98520
Grays Harbor County (360) 532-7512
KIRK A SUND DDS
Dentist
104 W 4TH ST, SUITE 103
ABERDEEN, WA 98520
Grays Harbor County (360) 533-1430

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 Clinic Inc's NPI number?

The NPI number for Broadway Clinic Inc is 1548370547. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Broadway Clinic Inc located?

Broadway Clinic Inc is located at 104 W 4th St Suite # 105, Aberdeen, WA 98520. The listed phone number is (360) 538-7292.

What is Broadway Clinic Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Broadway Clinic Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.