Broad River Physicians Group, LLC
Emergency Medicine in Columbia, South Carolina
1235659103- Practice location
- 120 Gateway Corporate Blvd, Columbia, SC 29203-9611
- Phone
- 803-865-4500
- Fax
- —
- Last updated
- February 5, 2020
Broad River Physicians Group, LLC is a healthcare organization based in Columbia, SC. Broad River Physicians Group, LLC practices in Columbia, SC. The NPI Number for Broad River Physicians Group, LLC is 1235659103. The current practice location address for Broad River Physicians Group, LLC is 120 Gateway Corporate Blvd, Columbia, SC 29203-9611 and can be reached out via phone at 803-865-4500.
Provider Profile Details
- NPI Number
- 1235659103
- Provider Name
- Broad River Physicians Group, LLC
- Provider Entity Type
- Organization
- Address
- 120 Gateway Corporate Blvd, Columbia, SC 29203-9611
- Phone Number
- 803-865-4500
- Primary Taxonomy
- Emergency Medicine · 207P00000X
- Organization Subpart
- No
- Authorized Official
- Kim H Larsen · Director Of Credentialing · 770-874-5400
- Provider Enumeration Date
- June 22, 2017
- Last Update Date
- February 5, 2020
- Certification Date
- February 5, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 120 Gateway Corporate Blvd
Columbia, SC 29203-9611 - City
- Columbia
- State
- South Carolina
- Zip
- 29203-9611
- Phone Number
- 803-865-4500
Provider Business Mailing Address Details
- Address
- Po Box 21801
Belfast, ME 04915-4115 - City
- Belfast
- State
- ME
- Zip
- 04915-4115
- Phone Number
- 770-874-5400
License Information
- Taxonomy
- Emergency Medicine · 207P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Emergency Medicine providers near Columbia, SC
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Frequently Asked Questions
What is the NPI number of Broad River Physicians Group, LLC?
The NPI number of Broad River Physicians Group, LLC is 1235659103. It was assigned on June 22, 2017 and is currently active in the NPPES registry.
What is the specialty of Broad River Physicians Group, LLC?
Broad River Physicians Group, LLC is registered under the primary taxonomy Emergency Medicine (code 207P00000X).
Where does Broad River Physicians Group, LLC practice?
The practice location is 120 Gateway Corporate Blvd, Columbia, SC 29203-9611. The office can be reached at 803-865-4500 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235659103 directly on the NPPES registry website.