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BROADWAY FAMILY PRACTICE, PC
NPI 1891880217
Family Medicine in Broadway, VA

Active since October 03, 2006
12515 TIMBERWAY, BROADWAY, VA 22815(540) 896-7061(540) 896-7062 Get Directions Write a Review

NPPES record last updated: May 2, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Broadway Family Practice, Pc NPPES

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

BROADWAY FAMILY PRACTICE, PC (NPI 1891880217) is a healthcare organization registered as a family medicine in Broadway, Virginia and active in the NPI registry since October 2006. The organization lists George A Bentrem, Owner, as its authorized official.

NPPES Registry Identity

NPI1891880217
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBROADWAY FAMILY PRACTICE, PC
Location Address12515 TIMBERWAYBroadway, VA 22815
Mailing AddressP. O. Box 6Broadway, VA 22815 · (540) 896-7061 · Fax (540) 896-7062
Phone(540) 896-7061
Fax(540) 896-7062
Organization SubpartNo
Authorized OfficialGeorge A BentremOwner · (540) 896-7061
Enumeration DateOctober 3, 2006
Last NPPES UpdateMay 2, 2008
✔ NPI 1891880217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101054180
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.
12515 TIMBERWAY, Broadway, VA 22815
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Other Identifiers 3

Medicare PINC04861
Medicare UPINF15267VA
Medicaid5619734VA

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

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 Family Practice, PC's NPI number?

The NPI number for Broadway Family Practice, PC is 1891880217. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Broadway Family Practice, PC located?

Broadway Family Practice, PC is located at 12515 Timberway, Broadway, VA 22815. The listed phone number is (540) 896-7061.

What is Broadway Family Practice, PC'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 Family Practice, PC was last updated on May 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.