National Provider Identifier Database

JEFFREY BROADWELL, CPO – NPI #1518713064
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

JEFFREY BROADWELL, CPO
720 GRACERN RD STE 115
COLUMBIA, SC29210-7658
Phone: 803-509-6256
Fax:
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X
Orthotist 222Z00000X

* Indicates primary specialty

NPI Profile & details for JEFFREY BROADWELL

NPI Number 1518713064
Credentials CPO
Entity Individual
Enumeration date 04/25/2024
Last updated 04/25/2024 - About 2 years ago
Sole proprietor1 No
Identifiers n/a
Hospital affiliation n/a

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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