Ronald L Broadwater Sr. (NPI# 1821196601, PAC ID# 8426230277) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1821196601 |
| PAC ID by PECOS | 8426230277 |
| Professional Enrollment ID | I20110711000096 |
| Full Name | Ronald L Broadwater Sr. |
| Organization Legal Name | LIFEBRIDGE COMMUNITY PHYSICIANS INC |
| Address |
688 Poole Rd Westminster MD 21157-6166 |
| Phone Number | 4108578202 |
| Gender | M |
| Medical School | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1972 |
| Primary Specialty | GENERAL PRACTICE |
| Secondary Specialties | FAMILY PRACTICE |
| Group Practice PAC ID | 3678751468 |
| Number of Group Practice Members | 108 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210012 | SINAI HOSPITAL OF BALTIMORE |
| Address | Phone | Organization |
|---|---|---|
| 688 Poole Rd, Westminster, MD 21157-6166 | 4108578202 | LIFEBRIDGE COMMUNITY PHYSICIANS INC |
| Organization Legal Name | LIFEBRIDGE COMMUNITY PHYSICIANS INC |
| Physicians | 109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Witanowski | Internal Medicine | Lifebridge Community Physicians Inc | 410 Malcolm Dr, Suite A, Westminster, MD 21157-6160 |
| Kimberly S Weiss | Physician Assistant | Lifebridge Community Physicians Inc | 6355 Ten Oaks Rd, Suite 202, Clarksville, MD 21029-1185 |
| Sam A Zamaria | Obstetrics/gynecology | Lifebridge Community Physicians Inc | 118 Shawan Rd, Suite 220, Cockeysville, MD 21030-1318 |
| Ruchira N Thakor | Family Medicine | Lifebridge Community Physicians Inc | 4 W Rolling Crossroads, Suite 100, Catonsville, MD 21228-6280 |
| Charles Phillip Adamo | Family Medicine | Lifebridge Community Physicians Inc | 2629 Riva Rd, Suite 112, Annapolis, MD 21401-7428 |
| Prema Siva | Internal Medicine | Lifebridge Community Physicians Inc | 8871 Gorman Rd, Laurel, MD 20723-5877 |
| Cyrus Hamidi | Family Medicine | Lifebridge Community Physicians Inc | 913 Ridgebrook Rd, Suite 312, Sparks, MD 21152-9457 |
| Elvira Pasmanik | Internal Medicine | Lifebridge Community Physicians Inc | 8600 Liberty Rd, Randallstown, MD 21133-4707 |
| Alexander Bogdaschewskyi | Internal Medicine | Lifebridge Community Physicians Inc | 1011 Baltimore Blvd, Westminster, MD 21157-7055 |
| Jeanpierre Elkhoury | Critical Care (intensivists) | Lifebridge Community Physicians Inc | 5401 Old Court Rd, Randallstown, MD 21133-5103 |
| Street Address |
688 POOLE RD |
| City | WESTMINSTER |
| State | MD |
| Zip | 21157-6166 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith Railson | Clinical Social Worker | Safe Harbor Behavioral Care LLC | 1641 Old Westminster Rd, Westninster, MD 21157-2718 |
| Courtney O'neill | Nurse Practitioner | Safe Harbor Behavioral Care LLC | 1641 Old Westminster Rd, Westninster, MD 21157-2718 |
| John Morris Langlois | Chiropractic | 250 Englar Rd, Suite 12, Westminster, MD 21157-2927 | |
| George Louis Grillon | Maxillofacial Surgery | 250 Englar Rd, Suite 4, Westminster, MD 21157-2927 | |
| Kayla L Rivera | Clinical Social Worker | Associated Catholic Charities, Inc | 1129 Business Pkwy S, Suite A, Westminster, MD 21157-3004 |
| Chinedu O Varma | Psychiatry | Associated Catholic Charities, Inc | 1129 Business Pkwy S, Suite A, Westminster, MD 21157-3004 |
| Peter Pourzand | Nurse Practitioner | Associated Catholic Charities, Inc | 1129 Business Pkwy S, Suite A, Westminster, MD 21157-3004 |
| Ross P Zelesnick | Physician Assistant | Airpark Primary Care LLC | 125 Airport Dr, Suite 34, Westminster, MD 21157-3038 |
| April L Bentley | Nurse Practitioner | Airpark Primary Care LLC | 125 Airport Dr, Suite 34, Westminster, MD 21157-3038 |
| Philip Ruzbarsky | General Practice | Airpark Primary Care LLC | 125 Airport Dr, Suite 34, Westminster, MD 21157-3038 |
| Find all physicians in zip 21157 | |||
| City | WESTMINSTER |
| Zip Code | 21157 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | WESTMINSTER + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Ronald L Broadwater Sr..
| 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.