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Dr. Stephen R Broadwater, M.D.

Interventional Cardiology Physician in Martinez, GA · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083697478

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Registry record

Entity type Individual (Type 1)
Name Dr. Stephen R Broadwater
Credential M.D.
Sex Male
Practice address 587 Furys Ferry Rd, Martinez, GA, 30907
Phone (706) 721-8623
Enumeration date Nov 21, 2005
Last updated in NPPES Apr 3, 2024

Taxonomy & licenses

174400000X Specialist Other Service Providers · License 050003 (GA) Secondary
207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians · License 50003 (GA) Secondary
207RI0011X Interventional Cardiology Physician Allopathic & Osteopathic Physicians · License 50003 (GA) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
000905154A Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Stephen Broadwater's NPI record?
Cross-check NPI 1083697478 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1083697478 active?
Yes, as of the latest NPPES snapshot, NPI 1083697478 is active (record last updated 2024-04-03).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-03.