Broadway Medical Service & Supply, Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

BROADWAY MEDICAL SERVICE & SUPPLY, INC

Practice address

123 Commerce Cir
Sacramento, CA 95815-4201

Phone

(916) 927-4047

Fax

(916) 927-5383

NPI assigned

Jul 22, 2011

Organization subpart

Yes

Parent organization

DARR-B CORPAs reported in NPPES

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

Authorized official

Name

Mr. Ronald Allan Biasca

Title

President

Phone

(707) 442-3719

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1548548688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 BROADWAY",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955010126",
            "telephone_number": "707-442-3719",
            "fax_number": "707-442-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 COMMERCE CIR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154201",
            "telephone_number": "916-927-4047",
            "fax_number": "916-927-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY MEDICAL SERVICE & SUPPLY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DARR-B CORP",
        "enumeration_date": "2011-07-22",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "BIASCA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-442-3719",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548548688",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin M Broadbent, NP
• Lucas Broadhurst, CPO
• Robert B. Broadhurst, MD
• Michelle Alce Broadnax
• Broadway LTC Pharmacy, Inc.
• Kirk Loyd Broadway
• Tiffany Broce, APRN
• Cameron Lyle Brock, MD
• Kyla Nellie Brock
• Nicole Brock

• Oxygen Equipment & Supplies (DME) in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Oxygen Equipment & Supplies (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.