Broadway East Internists

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BROADWAY EAST INTERNISTS

Practice address

7525 E Broadway Rd Ste 2
Mesa, AZ 85208-1154

Phone

(480) 981-9800

NPI assigned

Mar 7, 2022

Organization subpart

No

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

Authorized official

Name

Robert Tully, MD

Title

Provider/Owner

Phone

(480) 981-9800

Specialties & licenses 1

Addresses

Other names 1

• Broadway East Internists Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1609523976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 E BROADWAY RD STE 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852081154",
            "telephone_number": "480-981-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 E BROADWAY RD STE 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852081154",
            "telephone_number": "480-981-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY EAST INTERNISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "TULLY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "480-981-9800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway East Internists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Britland, LMT
• Krystynna J Britton
• Mary Ruth Brix, MS, PT
• Michael D Broadbent, DDS PC
• Michael Tyler Broadbent, D.D.S.
• Caylie Brock, LAC
• Clint Brock
• Anissa Brockman, RPH
• Mary Louise Brockmeier, MT-BC
• McKenna I Brodrick, ED.S, MS, LPC

• Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.