Vernon Scott Carroll Sr.
BROAD RIVER PHYSICIANS GROUP, LLC


Address: 120 Gateway Corp Blvd, Columbia, SC 29203-9611
Phone: 7708746859

Vernon Scott Carroll Sr. (NPI# 1780622555, PAC ID# 7618925850) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1780622555
PAC ID by PECOS 7618925850
Professional Enrollment ID I20050105000176
Full Name Vernon Scott Carroll Sr.
Organization Legal Name BROAD RIVER PHYSICIANS GROUP, LLC
Address 120 Gateway Corp Blvd
Columbia
SC 29203-9611
Phone Number 7708746859
Gender M
Credential MD
Medical School UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduation Year 1993
Primary Specialty EMERGENCY MEDICINE
Group Practice PAC ID 8123385143
Number of Group Practice Members 26
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
420026 PROVIDENCE HEALTH

Other Locations

Address Phone Organization
120 Gateway Corp Blvd, Columbia, SC 29203-9611 7708746859 BROAD RIVER PHYSICIANS GROUP, LLC
2435 Forest Dr, Columbia, SC 29204-2026 7708746859 BROAD RIVER PHYSICIANS GROUP, LLC

Organization Information

Organization Legal Name BROAD RIVER PHYSICIANS GROUP, LLC
Physicians 12

Physicians with the same organization

Name Specialty Organization Address
Ryan S Slife Emergency Medicine Broad River Physicians Group, LLC 120 Gateway Corp Blvd, Columbia, SC 29203-9611
Marc E Kushinka Emergency Medicine Broad River Physicians Group, LLC 2435 Forest Dr, Columbia, SC 29204-2026
Mary C Philbeck Emergency Medicine Broad River Physicians Group, LLC 2435 Forest Dr, Columbia, SC 29204-2026
Michael T Hayes Emergency Medicine Broad River Physicians Group, LLC 2435 Forest Dr, Columbia, SC 29204-2026
Debra J Prosser Nurse Practitioner Broad River Physicians Group, LLC 120 Gateway Corp Blvd, Columbia, SC 29203-9611
David E Krusling Emergency Medicine Broad River Physicians Group, LLC 120 Gateway Corp Blvd, Columbia, SC 29203-9611
Samuel E Wachter Nurse Practitioner Broad River Physicians Group, LLC 2435 Forest Dr, Columbia, SC 29204-2026
Bruce Kerwin Williams Nurse Practitioner Broad River Physicians Group, LLC 2435 Forest Dr, Columbia, SC 29204-2026
Roy Hampton Smith Nurse Practitioner Broad River Physicians Group, LLC 2435 Forest Dr, Columbia, SC 29204-2026
William N Ramsey Emergency Medicine Broad River Physicians Group, LLC 2435 Forest Dr, Columbia, SC 29204-2026

Office Location

Street Address 120 GATEWAY CORP BLVD
City COLUMBIA
State SC
Zip 29203-9611

Physicians in the same location

Name Specialty Organization Address
Ryan S Slife Emergency Medicine Broad River Physicians Group, LLC 120 Gateway Corp Blvd, Columbia, SC 29203-9611
Torrey Phillip Poholsky Hospitalist Apogee Medical Group South Carolina 120 Gateway Corp Blvd, Columbia, SC 29203-9611
Liubou Simonovich Physician Assistant Apogee Medical Group South Carolina 120 Gateway Corp Blvd, Columbia, SC 29203-9611
Rose Basnyat Hospitalist Apogee Medical Group South Carolina 120 Gateway Corp Blvd, Columbia, SC 29203-9611
Todd Leon Vandenberg Urology Providence Physician Practices, LLC 120 Gateway Corp Blvd, Columbia, SC 29203-9611
Debra J Prosser Nurse Practitioner Broad River Physicians Group, LLC 120 Gateway Corp Blvd, Columbia, SC 29203-9611
David E Krusling Emergency Medicine Broad River Physicians Group, LLC 120 Gateway Corp Blvd, Columbia, SC 29203-9611
Colin Widener Hospitalist Apogee Medical Group South Carolina 120 Gateway Corp Blvd, Columbia, SC 29203-9611
Jerry W Robinson Internal Medicine Apogee Medical Group South Carolina 120 Gateway Corp Blvd, Columbia, SC 29203-9611
Holly K Smith Internal Medicine Providence Physician Practices, LLC 120 Gateway Corp Blvd, Columbia, SC 29203-9611
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Zachary Logan Hardy Emergency Medicine Prisma Health Midlands 14 Medical Park Rd, Suite 350, Columbia, SC 29203
Robin B Welsh Psychiatry University Pediatrics 14 Medical Park, Suite 400, Columbia, SC 29203
Lawrence K Siegel Pediatric Medicine University Pediatrics 9 Medical Park, Columbia, SC 29203
Ronnie W Neuberg Pediatric Medicine Palmetto Health 7 Medical Park, Suite 203, Columbia, SC 29203
Melanie Blackburn Pediatric Medicine University Pediatrics 14 Medical Park, Columbia, SC 29203
Julia B Ballance Pediatric Medicine University Pediatrics 14 Medical Park, Columbia, SC 29203
Matthew M Wienecke Cardiovascular Disease (cardiology) University Pediatrics 9 Medical Park, Suite 110, Columbia, SC 29203
Charles W Derrick Jr. Pediatric Medicine University Pediatrics 9 Medical Park, Columbia, SC 29203
Whitney Brown Endocrinology University Pediatrics 9 Medical Park, Columbia, SC 29203
Stacey M Humphreys Critical Care (intensivists) Palmetto Health 7 Medical Park, Suite 203, Columbia, SC 29203
Find all physicians in zip 29203

Competitor

Search similar physicians

City COLUMBIA
Zip Code 29203
Specialty EMERGENCY MEDICINE
City + Specialty COLUMBIA + EMERGENCY MEDICINE

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Dataset Information

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.

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