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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BROADWAY SPORTS & INTERNAL MEDICINE P S

Active Organization

BROADWAY SPORTS & INTERNAL MEDICINE P S is a Internal Medicine organization located in BELLEVUE, Washington. NPI 1396803797 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · BELLEVUE, WA

Registration Details

NPI Number
1396803797
Provider Type
Organization
NPI Issued
Dec 5, 2006 (19.710828166952 yrs)
Last Updated
Jul 28, 2025
Licenses
MD0019545 (WA)
MD0019545 (WA)

Practice Information

Address
1600 116TH AVE NE
SUITE 202
BELLEVUE, WA, 980043014
Browse WA providers · Browse ZIP 98004
Phone
2062152288
Fax
2062152289
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.