Broadway Sports And Internal Medicine in Bellevue - Sports Medicine
Broadway Sports And Internal Medicine - NPI 1396803797
Broadway Sports And Internal Medicine is a Sports Medicine in Bellevue, Washington. Broadway Sports And Internal Medicine practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Broadway Sports And Internal Medicine is 1396803797. The last update date is 2016-11-04.
Broadway Sports And Internal Medicine's current location address is 1600 116th Ave Ne, Bellevue, Washington. You can contact this provider via phone number 2062152288 and fax number 2062152289. The mailing address for Broadway Sports And Internal Medicine is 1600 116th Ave Ne, Bellevue, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Broadway Sports And Internal Medicine |
|---|---|
| Address | 1600 116th Ave Ne, Bellevue, Washington |
| Phone Number | 2062152288 |
| Fax Number | 2062152289 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Schuster Richard Gary |
| Credentials | M.D. |
| Telephone Number | 2062152288 |
NPI Number Detail
| NPI Number | 1396803797 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2016-11-04 |
Provider Mailing Address Detail
| Address | 1600 116th Ave Ne |
|---|---|
| City | Bellevue |
| State | Washington (WA) |
| Post Code | 980043014 |
| Phone Number | 2062152288 |
| Fax Number | 2062152289 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | MD0019545 |
|
Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MD0019545 | WA | WA STATE LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Broadway Sports And Internal Medicine by the Centers for Medicare & Medicaid Services?
The Broadway Sports And Internal Medicine has been issued the NPI (National Provider Identifier) 1396803797. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Broadway Sports And Internal Medicine?
The Broadway Sports And Internal Medicine is situated at 1600 116Th Ave Ne, in the city of Bellevue, state of WA, with the zip code 980043014.
What is Broadway Sports And Internal Medicine's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Broadway Sports And Internal Medicine is Sports Medicine, and the taxonomy code that categorizes this field of expertise is 207Qs0010X.
On what date did the Broadway Sports And Internal Medicine receive the assignment of its 1396803797 from the Centers for Medicare & Medicaid Services?
The Broadway Sports And Internal Medicine was issued its 1396803797 by the Centers for Medicare & Medicaid Services on 2006-12-05.
As of what date were the details pertaining to Broadway Sports And Internal Medicine last refreshed?
The information related to the Broadway Sports And Internal Medicine, including its address, specialty, and other relevant details, was last updated on 2016-11-04.
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