Family Medicine
BROADWAY CLINIC INC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1548370547 · enumerated 2006-08-30 · record updated 2020-08-22. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. ANTOINE JOHNSON MD, Family Medicine Phyician CEO Broawa · (360) 538-7292
Addresses and phones
- Mailing address PO BOX 149, ABERDEEN, WA, 98520-0063 (360) 538-7292 Fax (360) 533-2566 Google Maps Apple Maps OpenStreetMap
- Practice location 104 W 4TH ST, SUITE # 105, ABERDEEN, WA, 98520-3932 (360) 538-7292 Fax (360) 533-2566 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary
In this directory
Locations and evidence
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Practice location
ABERDEEN, WA, 985203932
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.