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

Dr. Stephen R Broadwater, MD

Individual provider Specialist · NPI 1083697478

Dr. Stephen R Broadwater, MD is a Cardiovascular Disease (Cardiology) in Martinez, Georgia. Graduated from Medical College of Georgia School of Medicine in 1994, 32 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
32
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

587 Furys Ferry Rd
Martinez, GA 30907-9059
Phone: (706) 721-8623
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3651 Wheeler Rd, Augusta, GA 30909-6426 — (706) 721-8623
  • 3614 J Dewey Gray Circle, Augusta, GA 30909 — (706) 922-9222

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 50003 (GA)
Specialist Taxonomy 174400000X · Licence 050003 (GA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 50003 (GA)

Record details

NPI number1083697478
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 21, 2005
Last updated in NPPESApril 3, 2024
Certification dateApril 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE, INTERVENTIONAL CARDIOLOGY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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