Broadwell, Scott Russell
Broadwell, Scott Russell is an individual health care provider with primary practice located at 700 E Morehead St Ste 300, Charlotte NC 28202-2788. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Broadwell, Scott Russell can be contacted via phone (704) 334-7800.Contact Information
Primary practice address
700 E Morehead St Ste 300
Charlotte NC 28202-2788
Phone: (704) 334-7800
Fax: (704) 414-7512
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD-27015 | Hawaii |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 31804 | South Carolina |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 2008-01123 | North Carolina |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 2008-01123 | North Carolina |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 31804 | South Carolina |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | IMLC.MD.70157187 | Washington |
Profile Details
| NPI number | 1518948561 |
|---|---|
| LBN Legal business name | Broadwell, Scott Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Sep 16th, 2026 - about last month |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518948561 | NPPES |
| South Carolina | MEDICAID | N23008 | |
| South Carolina | Other | P00655691 | |
| South Carolina | MEDICAID | 5909660 |
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