BROADWAY SPORTS & INTERNAL MEDICINE P S
BROADWAY SPORTS & INTERNAL MEDICINE P S is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1396803797, based in Bellevue, WA. The organization lists 2 taxonomy classifications, with Internal Medicine Physician recorded as primary.
Getting there
The practice address on file is 1600 116TH AVE NE SUITE 202, Bellevue, WA 98004. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| MD0019545 | WA | Internal Medicine Physician primary |
| MD0019545 | WA | Sports Medicine (Family Medicine)… |
This provider holds licence MD0019545 issued in WA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 0042492944
- Enrollment ID
- O20110315000044
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Internal Medicine covers
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. NUCC Health Care Provider Taxonomy, code 207R00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | MD0019545 | WA | primary |
| 207QS0010X | Sports Medicine (Family Medicine) Physician Sports Medicine | MD0019545 | WA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1396803797 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Dec 5, 2006 |
| Last updated | Jul 28, 2025 |
| Status | Active |
| Practice address |
1600 116TH AVE NE SUITE 202 Bellevue, WA 98004 (206) 215-2288 Fax (206) 215-2289 |
| Other identifiers |
MD0019545
· Other (WA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 9 | 6 | 8 | 0 | 3 | 7 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 9 | 6 | 7 | 0 | 6 | 7 | 9 |
Sum = 73 · next multiple of 10 = 80 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.