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

Broadway Family Practice, PC

Organization Family Medicine Physician · NPI 1891880217

Broadway Family Practice, PC is a Family Medicine Physician in Broadway, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12515 Timberway
Broadway, VA 22815
Phone: (540) 896-7061
Fax: (540) 896-7062
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101054180 (VA)

Record details

NPI number1891880217
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Bentrem — Owner · (540) 896-7061
NPI enumeratedOctober 3, 2006
Last updated in NPPESMay 2, 2008
Mailing addressP. O. Box 6, Broadway, VA 22815

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