NPI age
19 years
Enumerated 2006-09-14
● Active Type 2 · Organization
Broadway Medical Clinic, P.A.
Broadway Medical Clinic, P.A. is 1 of 1927 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Nieto
President/medical Director
Last NPPES update
2010-11-02
Source: monthly bulk 2026-05
How this organization compares
Across 1927 active clinic/center providers in Texas.
NPI age
19 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
3208 Broadway St
Houston, TX 770172321
Mailing address
3208 Broadway St
Houston, TX 770172321
Authorized official
J. Felipe Nieto, M.D.
President/medical Director
📞 7136415656
Specialties
-
Clinic/Center PrimaryA facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 092059701 | |
| 01 (TX) | 900013387001 | APS HEALTHCARE |
| 01 (TX) | 10004520 | AMERIGROUP |
| 01 (TX) | 10020679 | AMERIGROUP |
| 01 (TX) | 000000U92M | BC BS |
| 05 (TX) | 092059702 | |
| 05 (TX) | 133829501 |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.