Broad River Physicians Group, LLC
Broad River Physicians Group, LLC is a healthcare organization registered as Emergency Medicine Physician in Columbia, SC, holding Type 2 (organization) NPI 1154841021 since 2017. The authorized official on file is Kim Larsen, Director of Credentialing.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1154841021 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Broad River Physicians Group, LLC |
| Practice address | 2435 FOREST DR, Columbia, SC, 29204 |
| Phone | 8032565300 |
| Enumeration date | 2017-06-22 |
| Last updated in NPPES | 2020-02-05 |
Authorized official
| Name | Kim Larsen |
|---|---|
| Title | Director of Credentialing |
| Phone | 7708745400 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine Physician | Primary | — | — |
Copy-ready billing details
Provider: Broad River Physicians Group, LLC NPI: 1154841021 Taxonomy: 207P00000X (Emergency Medicine Physician) Address: 2435 FOREST DR, Columbia, SC, 29204
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1003811290 | Providence Hospital, LLC | Organization | General Acute Care Hospital | Columbia, SC |
| 1790761609 | Lee Beckwith | Individual | Anatomic Pathology & Clinical Pathology Physician | Columbia, SC |
| 1700856218 | William Allen | Individual | Specialist | Columbia, SC |
| 1497726160 | Cardiovascular Ansthesia, LLC | Organization | Anesthesiology Physician | Columbia, SC |
| 1942272745 | Joseph Modzelewski | Individual | Anatomic Pathology & Clinical Pathology Physician | Columbia, SC |
| 1801868609 | Elizabeth Wofford | Individual | Anatomic Pathology & Clinical Pathology Physician | Columbia, SC |
| 1780656363 | Providence Pathology Associates PA | Organization | Anatomic Pathology & Clinical Pathology Physician | Columbia, SC |
| 1932176815 | John Williams | Individual | Anesthesiology Physician | Columbia, SC |
Verify this record
Cross-check NPI 1154841021 against the authoritative CMS record: view Broad River Physicians Group, LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Broad River Physicians Group, LLC?
What is the NPI number for Broad River Physicians Group, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-02-05.