Broadway Medical Treatment Center, LLC
NPI 1104010032ActiveOrganization· Family Medicine· East Providence, RI
Family Medicine in East Providence, Rhode Island, registered in NPPES in September 2007. The authorized official on file is Peter George Brassard, M.D., Physician / Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104010032 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 4, 2007 |
| Last updated in NPPES | Sep 4, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | CMD 06972 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (RI) |
|---|
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All 18 family medicine physicians in East Providence · All family medicine physicians in Rhode Island