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

Scott Russell Broadwell, MD

Individual provider Diagnostic Radiology Physician · NPI 1518948561

Scott Russell Broadwell, MD is a Diagnostic Radiology in Charlotte, North Carolina. Graduated from George Washington University School of Medicine in 1996, 30 years ago. Practices with Charlotte Radiology PA, a 218-clinician group and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
30
Trained at
George Washington University School of Medicine
Licensed in
NC, SC
In the registry since
2005
Specialties on file
4
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

700 E Morehead St Ste 300
Charlotte, NC 28202-2788
Phone: (704) 334-7800
Fax: (704) 414-7512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 2008-01123 (NC)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 31804 (SC)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 31804 (SC)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 2008-01123 (NC)

Record details

NPI number1518948561
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 8, 2005
Last updated in NPPESDecember 20, 2017

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Charlotte Radiology Pa — 218 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations18 on file with Medicare

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