West Broadway Clinic, PC
NPI 1407031230 · Internal Medicine Physician · Council Bluffs, IA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
West Broadway Clinic, PC is a Internal Medicine Physician organization in Council Bluffs, IA (NPI 1407031230).
Provider details
- NPI number
- 1407031230
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Isam Marar, President(712) 256-5600
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
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
- 2007-12-28
- Last updated
- 2007-12-28
Frequently asked questions
- What is West Broadway Clinic, PC's NPI number?
- West Broadway Clinic, PC's National Provider Identifier (NPI) is 1407031230, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is West Broadway Clinic, PC?
- West Broadway Clinic, PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is West Broadway Clinic, PC located?
- West Broadway Clinic, PC's practice location on file with NPPES is 16 S 17th St, Council Bluffs, IA 51501-3818.
- What is West Broadway Clinic, PC's phone number?
- The practice phone number listed in the NPPES registry for West Broadway Clinic, PC is (712) 256-5600.
- Does West Broadway Clinic, PC accept Medicare?
- West Broadway Clinic, PC 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 West Broadway Clinic, PC?
- The authorized official listed on West Broadway Clinic, PC's NPPES record is Isam Marar, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is West Broadway Clinic, PC's NPI active?
- Yes — West Broadway Clinic, PC's NPI (1407031230) is active in the NPPES registry as of the last update on 2007-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.