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

West Broadway Clinic, PC

Organization Medical Physician Assistant · NPI 1457742587

West Broadway Clinic, PC is a Medical Physician Assistant in Council Bluffs, Iowa. Licensed in Iowa. Registered with an NPI since 2015.

Licensed in
IA
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1701 W Broadway
Council Bluffs, IA 51501-3822
Phone: (712) 256-5600
Fax: (712) 256-3440
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 076849 (IA)

Record details

NPI number1457742587
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Spencer — Physician Assistant · (712) 256-5600
NPI enumeratedFebruary 11, 2015
Last updated in NPPESFebruary 16, 2015
Mailing address1701 W Broadway, Council Bluffs, IA 51501-3822

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