Stephen R Broadwater (NPI# 1083697478, PAC ID# 1850317892) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1083697478 |
| PAC ID by PECOS | 1850317892 |
| Professional Enrollment ID | I20051019000914 |
| Full Name | Stephen R Broadwater |
| Organization Legal Name | WESTSIDE CARDIOLOGY P C |
| Address |
3614 J Dewey Gray Circle A Augusta GA 30909-6512 |
| Phone Number | 7069229222 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1994 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 0941471809 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110177 | DOCTORS HOSPITAL |
| 110028 | UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3614 J Dewey Gray Circle A, Augusta, GA 30909-6512 | 7069229222 | WESTSIDE CARDIOLOGY P C |
| 2516 University Dr, Suite A, Thomson, GA 30824-0040 | 7065954674 | REGIONAL OPEN MRI, LLC |
| Organization Legal Name | WESTSIDE CARDIOLOGY P C |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rodolfo Rozindo Machado | Cardiovascular Disease (cardiology) | Westside Cardiology P C | 3614 J Dewey Gray Circle A, Augusta, GA 30909-6512 |
| Brent S Edwards | Cardiovascular Disease (cardiology) | Westside Cardiology P C | 3614 J Dewey Gray Circle A, Augusta, GA 30909-6512 |
| Street Address |
3614 J DEWEY GRAY CIRCLE A |
| City | AUGUSTA |
| State | GA |
| Zip | 30909-6512 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rodolfo Rozindo Machado | Cardiovascular Disease (cardiology) | Westside Cardiology P C | 3614 J Dewey Gray Circle A, Augusta, GA 30909-6512 |
| Brent S Edwards | Cardiovascular Disease (cardiology) | Westside Cardiology P C | 3614 J Dewey Gray Circle A, Augusta, GA 30909-6512 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan E Reimer | Family Medicine | 1224 Augusta W Pkwy, Augusta, GA 30909 | |
| Kent M Plowman | Interventional Pain Management | Stephens Clinic, LLC | 1109 Medical Ctr Dr, Suite 8a, Augusta, GA 30909 |
| Edgar R Bohannon | Qualified Audiologist | Augusta Hearing and Balance | 1215 A George Wilson, Suite 3, Augusta, GA 30909 |
| Tarak V Patel | Infectious Disease | 1224 Augusta W Pkwy, Augusta, GA 30909 | |
| Russell L Stephens | Anesthesiology | Stephens Clinic, LLC | 1109 Medical Ctr Dr, Suite 8a, Augusta, GA 30909 |
| Amanda S Battey | Qualified Audiologist | Augusta Hearing and Balance | 1215 A George Wilson, Suite 3, Augusta, GA 30909 |
| Rebecca B Hopkins | Audiologist | Augusta Hearing and Balance | 1215 A George Wilson, Augusta, GA 30909 |
| Dale Patrick | Optometry | Vision Partners, Inc. | 3450 Wrightsboro Rd, Suite 1325, Augusta, GA 30909-0566 |
| George Herman Hamiter Iii | Optometry | Vision Partners, Inc. | 3450 Wrightsboro Rd, Suite 1325, Augusta, GA 30909-0566 |
| Miguel Angel Bosch | Optometry | Vision Partners, Inc. | 3450 Wrightsboro Rd, Suite 1325, Augusta, GA 30909-0566 |
| Find all physicians in zip 30909 | |||
| City | AUGUSTA |
| Zip Code | 30909 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | AUGUSTA + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.