MR. RONALD LEE BROADWATER SR. MD
NPI 1821196601
Family Medicine in Cockeysville, MD

Q: What is Ronald Broadwater's NPI number?

The NPI number for Ronald Broadwater is 1821196601. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Ronald Broadwater's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ronald Broadwater was last updated on March 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since September 20, 2006

12 BRECON PL, STE 400, COCKEYSVILLE, MD 21030(443) 281-8086(443) 281-8117 Get Directions Write a Review

NPPES record last updated: March 6, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mr. Ronald Lee Broadwater Sr. Md NPPES

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

MR. RONALD LEE BROADWATER SR. MD (NPI 1821196601) is an individual family medicine provider in Cockeysville, Maryland, licensed in Maryland (D0015200) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1821196601

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMR. RONALD LEE BROADWATER SR.Credential: MD

Location Address12 BRECON PL, STE 400Cockeysville, MD 21030-2343

Mailing Address12 Brecon Pl, Ste 400Cockeysville, MD 21030-2343 · (443) 281-8086 · Fax (443) 281-8117

Phone(443) 281-8086

Fax(443) 281-8117

Sole ProprietorYes

Enumeration DateSeptember 20, 2006

Last NPPES UpdateMarch 6, 2014

✔ NPI 1821196601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MD · D0015200

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

12 BRECON PL, Cockeysville, MD 21030

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Other Identifiers 2

Medicare UPIND75251

Medicare ID-Type Unspecified1860RLMD

Other Providers at the Same Location NPPES 2

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

DR. RICHARD G D'ANTONIO M.D.

Internal Medicine

12 BRECON PL, STE. 410
COCKEYSVILLE, MD 21030

Baltimore County (410) 825-3416

RONALD L. BROADWATER SR. M.D.PA

Clinic/Center (Primary Care)

12 BRECON PL, SUITE 400
COCKEYSVILLE, MD 21030

Baltimore County (443) 281-8086

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 Ronald Broadwater's NPI number?

The NPI number for Ronald Broadwater is 1821196601. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Ronald Broadwater located?

Ronald Broadwater practices at 12 Brecon Pl Ste 400, Cockeysville, MD 21030. The listed phone number is (443) 281-8086.

What is Ronald Broadwater's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Ronald Broadwater was last updated on March 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.