Broadway Sports & Internal Medicine P S

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD0019545 Issued in WA

Legal business name

BROADWAY SPORTS & INTERNAL MEDICINE P S

Practice address

1600 116TH Ave NE
Suite 202
Bellevue, WA 98004-3014

Phone

(206) 215-2288

Fax

(206) 215-2289

NPI assigned

Dec 5, 2006

Last updated

Jul 28, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gary Richard Schuster, M.D.NPI 1053500223

Title

Physician

Phone

(206) 215-2288

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Richard Schuster, M.D

  • Internal Medicine Physician
  • Bellevue, WA
  • NPI 1053500223

  Sports Medicine

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1396803797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 116TH AVE NE",
            "address_2": "SUITE 202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043014",
            "telephone_number": "206-215-2288",
            "fax_number": "206-215-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 116TH AVE NE",
            "address_2": "SUITE 202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043014",
            "telephone_number": "206-215-2288",
            "fax_number": "206-215-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY SPORTS & INTERNAL MEDICINE P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "SCHUSTER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "206-215-2288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "WA",
            "license": "MD0019545",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD0019545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE LICENSE",
            "identifier": "MD0019545",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridgeway Treatment Services, L.L.C.
• Elliott Briggs
• Misty Dawn Bright, LICSW
• Brightside Health, Inc.
• Megan Krista Fee Bristow, MT-BC
• Jean Brockenbrough, R.N.
• Michelle Kim Brode, MSSA
• Meredith Broderick, M.D.
• Ryan J Broderick, M.D.
• Carl James Brodie III, M.D.

• Internal Medicine Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.