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

Broadway Sports & Internal Medicine P S

Organization Sports Medicine (Family Medicine) Physician · NPI 1396803797

Broadway Sports & Internal Medicine P S is a Sports Medicine (Family Medicine) Physician in Bellevue, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

1600 116th Ave NE Ste 202
Bellevue, WA 98004-3014
Phone: (206) 215-2288
Fax: (206) 215-2289
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD0019545 (WA)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence MD0019545 (WA)

Record details

NPI number1396803797
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Schuster — Physician · (206) 215-2288
NPI enumeratedDecember 5, 2006
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025
Mailing address1600 116th Ave Ne, Suite 202, Bellevue, WA 98004-3014

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