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Contact Information

SCOTT R BROADWELL, MD
700 E MOREHEAD ST
STE 300
CHARLOTTE, NC28202-2788
 Phone: 704-334-7800
 Fax: 704-414-7512
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for SCOTT R BROADWELL · (Male)

NPI Number 1518948561
Status Active
Credentials MD
Entity Individual
Enumeration date 11/08/2005
Last updated 12/20/2017 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 2008-01123
  • SC License # 31804
  • NC Medicaid 5909660
  • SC Medicaid N23008
  • NC Other P00655691 RR NC MEDICARE
Hospital affiliation(s)
  • CAROLINAS MED CENTER-MERCY - (Acute Care)
    10628 PARK RD
    CHARLOTTE, NC 28210
  • CAROLINAS MEDICAL CENTER-NORTHEAST - (Acute Care)
    920 CHURCH ST N
    CONCORD, NC 28025
  • CAROLINAS MEDICAL CENTER-UNION - (Acute Care)
    600 HOSPITAL DR
    MONROE, NC 28110
  • CAROLINAS MEDICAL CENTER/BEHAV HEALTH - (Acute Care)
    1000 BLYTHE BLVD
    CHARLOTTE, NC 28203
  • LAKE NORMAN REGIONAL MEDICAL CENTER - (Acute Care)
    171 FAIRVIEW ROAD
    MOORESVILLE, NC 28117
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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