Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Ms. Taeja Broadwater, PA-C

Surgical Physician Assistant in Danville, PA · enumerated 2009.

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

National Provider Identifier

1114152329

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Registry record

Entity type Individual (Type 1)

Name Ms. Taeja Broadwater

Credential PA-C

Sex Female

Practice address Danville, PA, 17822

Phone (570) 271-5555

Enumeration date May 18, 2009

Last updated in NPPES Sep 27, 2013

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

163WM0705X Medical-Surgical Registered Nurse Nursing Service Providers · License R185137 (MD) Secondary

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License MAO55689 (PA) Primary

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

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Taeja Broadwater?

Taeja Broadwater is registered in NPPES with the primary taxonomy of Surgical Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Other providers at this practice address

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Christopher Coppola Pediatric Surgery Physician · Danville, PA NPI 1952389082 John Gray Surgery Physician · Danville, PA NPI 1215958715 Barbara Brown Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Danville, PA NPI 1154578706 Adam Gross Pharmacotherapy Pharmacist · Danville, PA NPI 1699923011 Amy Stroman Pharmacotherapy Pharmacist · Danville, PA NPI 1336380823 Milana Mor Student in an Organized Health Care Education/Training Program · Danville, PA NPI 1356576722 Arbab Iqbal Diagnostic Radiology Physician · Danville, PA NPI 1063711240 Christopher Powers Student in an Organized Health Care Education/Training Program · Danville, PA NPI 1801186994

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-09-27.