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JEFFREY BROADWELL CPO
NPI 1518713064
Prosthetist in Columbia, SC

Active since April 25, 2024
720 GRACERN RD STE 115, COLUMBIA, SC 29210(803) 509-6256 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeffrey Broadwell Cpo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY BROADWELL CPO (NPI 1518713064) is an individual prosthetist provider in Columbia, South Carolina and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1518713064
Entity TypeIndividualMale
Primary Taxonomy224P00000X
Provider Legal NameJEFFREY BROADWELLCredential: CPO
Location Address720 GRACERN RD STE 115Columbia, SC 29210-7658
Mailing Address703 N Fant St Ste AAnderson, SC 29621-5705 · (864) 622-0900
Phone(803) 509-6256
Sole ProprietorNo
Enumeration DateApril 25, 2024
NPPES CertifiedApril 25, 2024
✔ NPI 1518713064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224P00000X
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Also ListedOrthotistTaxonomy 222Z00000X
720 GRACERN RD STE 115, Columbia, SC 29210
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADVANCED PROSTHETICS, INC
Prosthetic/Orthotic Supplier
720 GRACERN RD STE 115
COLUMBIA, SC 29210
Richland County (803) 509-6256

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Broadwell's NPI number?

The NPI number for Jeffrey Broadwell is 1518713064. It was assigned to this individual provider in the NPPES registry on April 25, 2024.

Where is Jeffrey Broadwell located?

Jeffrey Broadwell practices at 720 Gracern Rd Ste 115, Columbia, SC 29210. The listed phone number is (803) 509-6256.

What is Jeffrey Broadwell's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Jeffrey Broadwell was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.