Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Broadway Medical Treatment Center, LLC

Organization Family Medicine Physician · NPI 1104010032

Broadway Medical Treatment Center, LLC provides Family Medicine Physician services in East Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2007.

Licensed in
RI
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1053 S Broadway
East Providence, RI 02914-4729 Not confirmed with CMS for 19 years — call before visiting
Phone: (401) 438-5551
Fax: (401) 438-7272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence CMD 06972 (RI)

Record details

NPI number1104010032
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Brassard — Physician / Owner · (401) 438-5551
NPI enumeratedSeptember 4, 2007
Last updated in NPPESSeptember 4, 2007
Mailing address1053 S Broadway, East Providence, RI 02914-4729

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