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Broadway Clinic Inc

Family Medicine Physician in Aberdeen, WA · enumerated 2006 · authorized official Antoine Johnson, Family Medicine Phyician Ceo Broawa.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1548370547

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Registry record

Entity type Organization (Type 2)
Legal business name Broadway Clinic Inc
Practice address 104 W 4th St, Suite # 105, Aberdeen, WA, 98520
Phone (360) 538-7292
Fax (360) 533-2566
Enumeration date Aug 30, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Antoine Johnson
Title Family Medicine Phyician Ceo Broawa
Phone (360) 538-7292

Other identifiers

Identifier Type State Issuer
7109903 Medicaid WA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Broadway Clinic Inc?
Broadway Clinic Inc is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.