Organization
BROADWAY DME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON TYLER SMITH (PRESIDENT)
(925) 290-0038
Entity
Organization
Contact information
Practice address
1475 N BROADWAY STE 270, WALNUT CREEK, CA 94596-4654
(925) 290-0038
(925) 222-3277
Mailing address
1475 N BROADWAY STE 270, WALNUT CREEK, CA 94596-4654
(925) 290-0038
(925) 222-3277
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/18/2025
Last updated
01/30/2026
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