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

Jeffrey Broadwell, CPO

Individual provider Orthotist · NPI 1518713064

Jeffrey Broadwell, CPO is an Orthotist in Columbia, South Carolina. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

720 Gracern Rd Ste 115
Columbia, SC 29210-7658
Phone: (803) 509-6256
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X
Orthotist Taxonomy 222Z00000X

Record details

NPI number1518713064
Entity typeIndividual (Type 1)
GenderMale
Credentials CPO
Sole proprietorNo
NPI enumeratedApril 25, 2024
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024

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