BROADWAY CLINIC INC – Family Medicine Physician, NPI 1548370547

BROADWAY CLINIC INC is a healthcare provider. based in Aberdeen, Washington. specializing in Family Medicine Physician. The NPI Number for BROADWAY CLINIC INC is 1548370547

Main info

Organization
Name
BROADWAY CLINIC INC
NPI
1548370547
Phone
(360) 538-7292
Address
104 W 4TH ST
Authorized Official
DR. ANTOINE DOUGLASS JOHNSON FAMILY MEDICINE PHYICIAN CEO BROAWA MD
Enumeration Date
30 August 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for BROADWAY CLINIC INC

  • 104, West 4th Street, Pilgrim Heights, Aberdeen, Grays Harbor County, Washington, 98520, United States

    SUITE # 105

    ABERDEEN, WA 985203932

    Phone: (360) 538-7292

    Fax: (360) 533-2566

    Type: Location

  • PO BOX 149

    ABERDEEN, WA 985200063

    Phone: (360) 538-7292

    Fax: (360) 533-2566

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98520)

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Reviews

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Frequently asked questions

What unique ID ties claims to BROADWAY CLINIC INC?
NPI 1548370547 is assigned to BROADWAY CLINIC INC under the national enumeration system.
Is BROADWAY CLINIC INC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does BROADWAY CLINIC INC list a primary specialty?
If you are matching referrals, note Family Medicine Physician for BROADWAY CLINIC INC. Clinical services aligned with this taxonomy classification.
Does BROADWAY CLINIC INC practice in Washington?
You will see Aberdeen, Washington on file for BROADWAY CLINIC INC alongside any extra practice locations.
How can I contact BROADWAY CLINIC INC?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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