Organization Active NPI

Hunt Valley Urgent Care

  • Urgent Care Clinic/Center
  • Cockeysville, MD
National Provider Identifier
1194005512
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
D15200 Issued in MD
Legal business name
HUNT VALLEY URGENT CARE
Practice address
10 Warren Rd
Suite 110
Cockeysville, MD 21030-2506
Phone
(410) 628-2140
Fax
(410) 667-4703
NPI assigned
Aug 17, 2011
Last updated
Aug 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ronald Lee Broadwater Sr., M.D.NPI 1821196601
Title
Doctor
Phone
(410) 628-2140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X D15200 MD Primary

Addresses

Primary practice location

10 Warren Rd
Suite 110
Cockeysville, MD 21030-2506

Mailing address

10 Warren Rd
Suite 110
Cockeysville, MD 21030-2506
Phone (410) 628-2140

National Provider Directory

National Provider Directory

Locations

10 Warren Rd
Ste 110
Cockeysville, MD 21030
Phone (410) 628-2140

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1194005512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WARREN RD",
            "address_2": "SUITE 110",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302506",
            "telephone_number": "410-628-2140",
            "fax_number": "410-667-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WARREN RD",
            "address_2": "SUITE 110",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302506",
            "telephone_number": "410-628-2140",
            "fax_number": "410-667-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNT VALLEY URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "BROADWATER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "410-628-2140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MD",
            "license": "D15200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.