West Broadway Clinic, P.C.
NPI 1457742587ActiveOrganization· Physician Assistant, Medical· Council Bluffs, IA
Physician Assistant, Medical in Council Bluffs, Iowa, registered in NPPES in February 2015. The authorized official on file is Kimberly N. Spencer, PA-C, Physician Assistant.
Overview
| NPI | 1457742587 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 11, 2015 |
| Last updated in NPPES | Feb 16, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 076849 | IA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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