BROADWAY MEDICAL CLINIC LLP
NPI 1720082316
Clinic/Center - Primary Care in Portland, OR
About Broadway Medical Clinic Llp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROADWAY MEDICAL CLINIC LLP (NPI 1720082316) is a healthcare organization registered as a primary care in Portland, Oregon and active in the NPI registry since June 2005. The organization lists Heather L Bardfield, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Broadway Medical Clinic Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Broadway Medical Clinic LLP, which bills Medicare for the services they deliver. Of these, 15 practice at this address and 19 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (20)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Clinic LLP's NPI number?
The NPI number for Broadway Medical Clinic LLP is 1720082316. It was assigned to this organization in the NPPES registry on June 10, 2005.
Where is Broadway Medical Clinic LLP located?
Broadway Medical Clinic LLP is located at 4212 NE Broadway, Portland, OR 97213. The listed phone number is (503) 249-8787.
What is Broadway Medical Clinic LLP's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Broadway Medical Clinic LLP enrolled in Medicare?
Yes. Broadway Medical Clinic LLP is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Broadway Medical Clinic LLP?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 5 Medicare specialties reassign their Medicare billing to Broadway Medical Clinic LLP. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (12), Nurse Practitioner (3) and Clinical Social Worker (2). Of these, 15 practice at this address and 19 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Broadway Medical Clinic LLP was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Broadway Medical Clinic Llp · NPI 1720082316
Primary Care organization in Portland, Oregon. Organization record, active in the CMS NPPES registry since June 10, 2005.
## Identity
- **NPI:** 1720082316 (Entity type: Organization)
- **Enumerated:** June 10, 2005
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Heather Bardfield, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 4212 NE BROADWAY, Portland, OR 97213-1422
- **Phone:** (503) 249-8787 · **Fax:** (503) 284-5168
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (12), Nurse Practitioner (3), Clinical Social Worker (2); 15 practice at this address and 19 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1720082316) · Data from the CMS NPPES public registry.