Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Broad River Physicians Group, LLC

Organization Emergency Medicine Physician · NPI 1235659103

Broad River Physicians Group, LLC is an Emergency Medicine Physician in Columbia, South Carolina. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

120 Gateway Corporate Blvd
Columbia, SC 29203-9611
Phone: (803) 865-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1235659103
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Larsen — Director Of Credentialing · (770) 874-5400
NPI enumeratedJune 22, 2017
Last updated in NPPESFebruary 5, 2020
Certification dateFebruary 5, 2020
Mailing addressPo Box 21801, Belfast, ME 04915-4115

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