NPIMap

Organization Active NPI

Broad River Physicians Group, LLC

  • Emergency Medicine Physician
  • Summerville, SC
National Provider Identifier
1295443000
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
BROAD RIVER PHYSICIANS GROUP, LLC
Practice address
100 Callen Blvd
Summerville, SC 29486-2807
Phone
(854) 529-3100
NPI assigned
Nov 10, 2022
Last updated
Aug 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Ronald C Turner Jr., MDNPI 1912166174
Title
MD
Phone
(843) 509-4554

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
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

100 Callen Blvd
Summerville, SC 29486-2807

Mailing address

PO Box 21801
Belfast, ME 04915-4115
Phone (770) 874-5400

Other practice location 1

3500 Highway 17 Byp N
Mount Pleasant, SC 29466-9123
Phone (843) 606-7000

Other practice location 2

316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 724-2000

Other practice location 3

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 402-1000

Other practice location 4

730 Stony Landing Rd
Moncks Corner, SC 29461-2904
Phone (843) 719-5575

Other practice location 5

101 Sawmill Centre Dr
Summerville, SC 29483-6914
Phone (843) 402-1000

Other practice location 6

7832 Rivers Ave
North Charleston, SC 29406-4016
Phone (843) 824-8733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230103000298 SC Part B Supplier - Clinic/Group Practice 8123385143 Receives reassigned benefits from 112 practitioners
Practice locations: Charleston, SC; Moncks Corner, SC; Mt Pleasant, SC; North Charleston, SC; Summerville, SC

National Provider Directory

National Provider Directory

Locations

101 Sawmill Centre Dr
Summerville, SC 29483

Practitioners & affiliated clinicians

Practitioners 115

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.

View all 115

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1295443000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21801",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154115",
            "telephone_number": "770-874-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CALLEN BLVD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294862807",
            "telephone_number": "854-529-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Highway 17 Byp N",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294669123",
            "country_code": "US",
            "telephone_number": "843-606-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "316 Calhoun St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294011113",
            "country_code": "US",
            "telephone_number": "843-724-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2095 Henry Tecklenburg Dr",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294145733",
            "country_code": "US",
            "telephone_number": "843-402-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 Stony Landing Rd",
            "address_purpose": "LOCATION",
            "city": "Moncks Corner",
            "state": "SC",
            "postal_code": "294612904",
            "country_code": "US",
            "telephone_number": "843-719-5575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Sawmill Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294836914",
            "country_code": "US",
            "telephone_number": "843-402-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7832 Rivers Ave",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294064016",
            "country_code": "US",
            "telephone_number": "843-824-8733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BROAD RIVER PHYSICIANS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "843-509-4554",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.