Broadway Medical Treatment Center, LLC
NPI 1104010032 · Family Medicine Physician · East Providence, RI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Broadway Medical Treatment Center, LLC is a Family Medicine Physician organization in East Providence, RI (NPI 1104010032).
Provider details
- NPI number
- 1104010032
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Peter Brassard, Physician / Owner(401) 438-5551
- License
- CMD 06972 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-09-04
- Last updated
- 2007-09-04
Frequently asked questions
- What is Broadway Medical Treatment Center, LLC's NPI number?
- Broadway Medical Treatment Center, LLC's National Provider Identifier (NPI) is 1104010032, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broadway Medical Treatment Center, LLC?
- Broadway Medical Treatment Center, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Broadway Medical Treatment Center, LLC located?
- Broadway Medical Treatment Center, LLC's practice location on file with NPPES is 1053 S Broadway, East Providence, RI 02914-4729.
- What is Broadway Medical Treatment Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Broadway Medical Treatment Center, LLC is (401) 438-5551.
- Does Broadway Medical Treatment Center, LLC accept Medicare?
- Broadway Medical Treatment Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Broadway Medical Treatment Center, LLC?
- The authorized official listed on Broadway Medical Treatment Center, LLC's NPPES record is Peter Brassard, Physician / Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broadway Medical Treatment Center, LLC's NPI active?
- Yes — Broadway Medical Treatment Center, LLC's NPI (1104010032) is active in the NPPES registry as of the last update on 2007-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.