RONALD L. BROADWATER SR. M.D.PA is a primary care clinic center in Cockeysville, MD. RONALD L. BROADWATER SR. M.D.PA NPI is 1497051395. The provider is registered as an organization entity type.
The provider's business location address is:
12 BRECON PL SUITE 400 COCKEYSVILLE, MD ZIP 21030-343 Phone: (443) 281-8086 Fax: (443) 281-8117
The provider's authorized official is Ronald Lee Broadwater . The authorized official title is Owner/medical Provider and has the following contact phone number (443) 281-8086.
The enumeration date for this NPI number is 2/10/2011 and was last updated on 3/6/2014.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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