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

Dr. Tara L Broadwater, MD

Individual provider Family Medicine Physician · NPI 1255310298

Dr. Tara L Broadwater, MD is a Family Medicine Physician in Eagan, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2006
Specialties on file
2
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

898 Wescott Trl Apt 311
Eagan, MN 55123-2272
Phone: (507) 304-1899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 40655 (MN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 40655 (MN)

Record details

NPI number1255310298
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 10, 2006
Last updated in NPPESApril 26, 2023
Certification dateApril 12, 2023

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