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

Broadway Medical Innovation, LLC

Organization Internal Medicine Physician · NPI 1467108514

Broadway Medical Innovation, LLC is an Internal Medicine Physician in Little River, South Carolina. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

100 Water Grande Blvd
Little River, SC 29566
Phone: (843) 655-0004
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1467108514
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victor Aguin Melendez — Owner · (843) 655-0004
NPI enumeratedFebruary 28, 2022
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026
Mailing address4016 River Oaks Dr Ste 6 Pmb 178, Myrtle Beach, SC 29579-6674

Other providers in Little River