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J. Broadwater

Surgical Oncologist

4301 W Markham St # 783
Little Rock , Arkansas 72205-7101

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J. Broadwater

Surgical Oncologist

4301 W Markham St # 783
Little Rock , Arkansas 72205-7101

(501) 686-8000

Write a Review Save Call

J. Broadwater

Surgical Oncologist

4301 W Markham St # 783
Little Rock , Arkansas 72205-7101

(501) 686-8000 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Surgical Oncologist

Languages spoken

  • English

Location

4301 W Markham St # 783 Little Rock , Arkansas 72205-7101

First Address

  • J. Broadwater
  • 4301 W Markham St # 783
  • Little Rock, AR
  • Zip : 72205-7101
  • Phone : (501) 686-8000

Second Address

  • J. Broadwater
  • 4301 W Markham St # 783
  • Little Rock, AR
  • Zip : 72205-7101
  • Phone : (501) 686-8000

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FAQs


Where did J. Broadwater attend graduate school?

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Where did J. Broadwater do his residency?

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Where did J. Broadwater do his fellowship?

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Is J. Broadwater board certified?

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What type of doctor is J. Broadwater

Surgical Oncologist

In what state does J. Broadwater practice in?

Arkansas

Where is J. Broadwater ’s practice located?

4301 W Markham St # 783 , Little Rock, Arkansas, 72205-7101

What is J. Broadwater ’s gender?

Male

Is J. Broadwater a sole practitioner?

No

Is J. Broadwater accepting new patients?

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What languages does J. Broadwater speak?

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Does J. Broadwater accept insurance?

Yes, J. Broadwater accepts insurance

Does J. Broadwater offers telemedicine?

J. Broadwater has not indicated if he offers telemedicine

What is J. Broadwater ’s professional license number?

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What is J. Broadwater ’s NPI number?

1043300619

Does J. Broadwater have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2086X0206X Surgical Oncologist C-6025 AR

National Provider Identifier

NPI 1043300619
Provider Name J. Broadwater
First Address Little Rock, AR 72205-7101
Second Address Little Rock, AR 72205-7101
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 13/10/2006
Last Update Date 07/01/2008

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
C13778 (02)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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