OrganizationActive
Broadway Medical Innovation, LLC
NPI 1467108514 · Internal Medicine Physician · Little River, SC
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
Established profile(61/100 index)
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
100 Water Grande Blvd
Little River, SC 29566
Phone: (843) 655-0004
Street-level locationGet directions
Mailing address
4016 River Oaks Dr Ste 6 Pmb 178
Myrtle Beach, SC 29579-6674
Registry dates
- Enumerated
- 2022-02-28
- Last updated
- 2026-04-22
- Certified
- 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.