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 1235659103 since 2017. The authorized official on file is Kim Larsen, Director of Credentialing.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1235659103 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Broad River Physicians Group, LLC |
| Practice address | 120 GATEWAY CORPORATE BLVD, Columbia, SC, 29203 |
| Phone | 8038654500 |
| 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: 1235659103 Taxonomy: 207P00000X (Emergency Medicine Physician) Address: 120 GATEWAY CORPORATE BLVD, Columbia, SC, 29203
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1801713391 | Kimberley Jacobs | Individual | Student in an Organized Health Care Education/Training Program | Columbia, SC |
| 1215932405 | Providence Hospital Northeast Transitional Care Unit | Organization | Skilled Nursing Facility | Columbia, SC |
| 1083723084 | Jennifer Georgi | Individual | Anesthesiology Physician | Columbia, SC |
| 1881797496 | Richard Boyer | Individual | Emergency Medicine Physician | Columbia, SC |
| 1366547101 | Capitol Er Group LLC | Organization | Emergency Medicine Physician | Columbia, SC |
| 1255497202 | Michael Hayes | Individual | Emergency Medicine Physician | Columbia, SC |
| 1740484658 | Augustine Health Group, LLC | Organization | Cardiovascular Disease Physician | Columbia, SC |
| 1639443948 | Jamie Disharoon | Individual | Certified Registered Nurse Anesthetist | Columbia, SC |
Verify this record
Cross-check NPI 1235659103 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
What type of organization is Broad River Physicians Group, LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-02-05.