OrganizationActive
Broadway Clinic Inc
NPI 1548370547 · Family Medicine Physician · Aberdeen, WA
Provider details
- NPI number
- 1548370547
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Antoine Johnson, Family Medicine Phyician Ceo Broawa(360) 538-7292
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
104 W 4th St
Suite # 105
Aberdeen, WA 98520-3932
Phone: (360) 538-7292
Fax: (360) 533-2566
Street-level locationGet directions
Mailing address
Po Box 149
Aberdeen, WA 98520-0063
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.