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BROADWAY MEDICAL CORPORATION, PC
NPI 1629196761
Specialist in Gary, IN

Active since March 27, 2007
3195 BROADWAY, GARY, IN 46409(219) 887-0900(219) 884-0930 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broadway Medical Corporation, Pc NPPES

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

BROADWAY MEDICAL CORPORATION, PC (NPI 1629196761) is a healthcare organization registered as a specialist in Gary, Indiana and active in the NPI registry since March 2007. The organization lists Adolphus A Anekwe, President, as its authorized official.

NPPES Registry Identity

NPI1629196761
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBROADWAY MEDICAL CORPORATION, PC
Location Address3195 BROADWAYGary, IN 46409-1006
Mailing Address3195 BroadwayGary, IN 46409-1006 · (219) 887-0900 · Fax (219) 884-0930
Phone(219) 887-0900
Fax(219) 884-0930
Organization SubpartNo
Authorized OfficialAdolphus A AnekwePresident · (219) 887-0900
Enumeration DateMarch 27, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1629196761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IN · 010-36654
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3195 BROADWAY, Gary, IN 46409
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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.

BROADWAY DENTAL SERVICES
Dentist (General Practice)
3195 BROADWAY
GARY, IN 46409
Lake County (219) 671-3754
EDWIN KENNETH MCDONALD III DDS
Dentist
3195 BROADWAY
GARY, IN 46409
Lake County (219) 887-0104
ADOLPHUS A ANEKWE M.D.
Specialist
3195 BROADWAY
GARY, IN 46409
Lake County (219) 887-0900

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 Medical Corporation, PC's NPI number?

The NPI number for Broadway Medical Corporation, PC is 1629196761. It was assigned to this organization in the NPPES registry on March 27, 2007.

Where is Broadway Medical Corporation, PC located?

Broadway Medical Corporation, PC is located at 3195 Broadway, Gary, IN 46409. The listed phone number is (219) 887-0900.

What is Broadway Medical Corporation, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Broadway Medical Corporation, PC 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 5 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.