Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Broadway Family Practice

Organization Primary Care Clinic/Center · NPI 1578092938

Broadway Family Practice is a Primary Care Clinic/Center in Bean Station, Tennessee. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

1179 Highway 11W
Bean Station, TN 37708
Phone: (865) 993-1070
Fax: (865) 993-1075
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1578092938
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Shultz — Owner · (865) 993-1070
NPI enumeratedJune 8, 2017
Last updated in NPPESJuly 21, 2022
Mailing address1179 Highway 11w, Bean Station, TN 37708-5809

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