Broadway Medical Innovation, LLC
NPI 1467108514 · Internal Medicine Physician · Little River, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Broadway Medical Innovation, LLC is a Internal Medicine Physician organization in Little River, SC (NPI 1467108514).
Provider details
- NPI number
- 1467108514
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Victor Aguin Melendez, Owner(843) 655-0004
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
4 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
- 2022-02-28
- Last updated
- 2026-04-22
- Certified
- 2026-04-22
Frequently asked questions
- What is Broadway Medical Innovation, LLC's NPI number?
- Broadway Medical Innovation, LLC's National Provider Identifier (NPI) is 1467108514, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broadway Medical Innovation, LLC?
- Broadway Medical Innovation, LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Broadway Medical Innovation, LLC located?
- Broadway Medical Innovation, LLC's practice location on file with NPPES is 100 Water Grande Blvd, Little River, SC 29566.
- What is Broadway Medical Innovation, LLC's phone number?
- The practice phone number listed in the NPPES registry for Broadway Medical Innovation, LLC is (843) 655-0004.
- Does Broadway Medical Innovation, LLC accept Medicare?
- Broadway Medical Innovation, 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 Innovation, LLC?
- The authorized official listed on Broadway Medical Innovation, LLC's NPPES record is Victor Aguin Melendez, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broadway Medical Innovation, LLC's NPI active?
- Yes — Broadway Medical Innovation, LLC's NPI (1467108514) is active in the NPPES registry as of the last update on 2026-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.