Active NPI
Scott Russell Broadwell, MD
- Vascular & Interventional Radiology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- IMLC.MD.70157187
- Practice address
- 700 E Morehead St
Ste 300
Charlotte, NC 28202-2788 - Phone
- (704) 334-7800
- Fax
- (704) 414-7512
- NPI assigned
- Nov 8, 2005
- Last updated
- Sep 16, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | MD-27015 | HI | |
| Diagnostic Radiology Physician | 2085R0202X | 31804 | SC | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 2008-01123 | NC | |
| Diagnostic Radiology Physician | 2085R0202X | 2008-01123 | NC | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 31804 | SC | |
| Vascular & Interventional Radiology Physician | 2085R0204X | IMLC.MD.70157187 | WA | Primary |
Addresses
Primary practice location
700 E Morehead St
Ste 300
Charlotte, NC 28202-2788
Mailing address
700 E Morehead St
Ste 300
Charlotte, NC 28202-2788
Phone (704) 334-7800
Other practice location 1
221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 244-9056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- George Washington University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 362-1945
1000 Healing Way
Matthews, NC 28104-4969
Phone (800) 821-1535
1025 Morehead Medical Dr
Suite 100
Charlotte, NC 28204-2964
Phone (704) 326-1945
1045 Negateway NE CT
Concord, NC 28025-2440
Phone (704) 362-1945
1045 Negateway Nect
Cocnord, NC 28025-2440
Phone (704) 334-7800
10628 Park Rd
Charlotte, NC 28210-8407
Phone (704) 362-1945
10648 Park Rd
Charlotte, NC 28210-8407
Phone (704) 362-5391
1065 Negateway Nect
Concord, NC 28025-2440
Phone (704) 334-7800
16035 Johnston Rd
Charlotte, NC 28277-2566
Phone (704) 667-0950
1656 Riverchase Blvd
Suite 1200
Rock Hill, SC 29732-0270
Phone (803) 327-9934
2700 Providence Rd S
Waxhaw, NC 28173-6313
Phone (704) 334-7800
332 N Trade St
Suite 2000
Matthews, NC 28105-1728
Phone (704) 302-8500
3715 Union Rd
Gastonia, NC 28056-8044
Phone (704) 854-8202
433 McAlister Rd
Lincolnton, NC 28092-4147
Phone (704) 362-1945
600 Hospital Dr
Monroe, NC 28112-6000
Phone (704) 362-1945
724 Aubrey Bell Dr
Matthews, NC 28105-5055
Phone (704) 295-3550
8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 612-4955
920 Church St N
Concord, NC 28025-2927
Phone (704) 334-7800
Hospital & facility affiliations
- Carolinas Medical Center/Behav Health
- Atrium Health Pineville
- Atrium Health Union
- Carolinas Medical Center-Northeast
- Atrium Health Cleveland
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 35 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-27015 | HI | MD | Vascular & Interventional Radiology Physician |
| IMLC.MD.70157187 | WA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charlotte Radiology P a | Current | Accepting new patients | |
| Charlotte Radiology PA | Diagnostic Radiology | Past | Accepting new patients |
| Lahey Clinic, Inc | Past | Accepting new patients | |
| Boston University Medical Center Radiologists, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Lahey Clinic, Inc. | Past | Accepting new patients |
Locations
12335 N Community House Rd
Ste B
Charlotte, NC 28277
700 E Morehead St
Ste 300
Charlotte, NC 28202
Phone (704) 442-4390
724 Aubrey Bell Dr
Matthews, NC 28105
Phone (704) 295-3550
7666 Charlotte Hwy
Ste 120
Indian Land, SC 29707
Phone (803) 328-6281
1656 Riverchase Blvd
Ste 1200
Rock Hill, SC 29732
Phone (803) 327-9934
Interoperability endpoints
- sbroadwell499433@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Charlotte, NC
- NPI 1003110677
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1134166945
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Cleveland
- General Acute Care Hospital
- Shelby, NC
- NPI 1669348991
-
dba Atrium Health Behavioral Health
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
dba Atrium Health Mercy
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
-
dba Levine Children's Hospital Pediatrics
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
dba Atrium Health Laboratory
- Clinical Medical Laboratory
- Charlotte, NC
- NPI 1811005150
Hospital
-
dba Atrium Health Union
- General Acute Care Hospital
- Monroe, NC
- NPI 1396790325
-
dba Atrium Health Pineville
- General Acute Care Hospital
- Charlotte, NC
- NPI 1417432840
-
dba Atrium Health Cabarrus
- General Acute Care Hospital
- Concord, NC
- NPI 1487866315
-
dba Atrium Health Cabarrus Inpatient Psych Unit
- Psychiatric Hospital Unit
- Concord, NC
- NPI 1629283866
-
dba Atrium Health Pineville Rehabilitation Hospital
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1518948561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E MOREHEAD ST",
"address_2": "STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282022788",
"telephone_number": "704-334-7800",
"fax_number": "704-414-7512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E MOREHEAD ST",
"address_2": "STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282022788",
"telephone_number": "704-334-7800",
"fax_number": "704-414-7512"
}
],
"practiceLocations": [
{
"address_1": "221 Mahalani St",
"address_purpose": "LOCATION",
"city": "Wailuku",
"state": "HI",
"postal_code": "967932526",
"country_code": "US",
"telephone_number": "808-244-9056",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROADWELL",
"first_name": "SCOTT",
"middle_name": "RUSSELL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-08",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "HI",
"license": "MD-27015",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "SC",
"license": "31804",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NC",
"license": "2008-01123",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "2008-01123",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "SC",
"license": "31804",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "WA",
"license": "IMLC.MD.70157187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.