Ralph Patrick Broadwater, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

8114 Issued in NH

Practice address

16 Hospital Road
Emergency Medicine Department
Plymouth, NH 03264

Phone

(603) 536-1120

Fax

(603) 536-4828

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cottage Hospital

  • Critical Access Hospital
  • Woodsville, NH
  • NPI 1528162799
  Medicare reassignment NPD
• Weeks Medical Center

  • Critical Access Hospital
  • Lancaster, NH
  • NPI 1265536718
  Medicare reassignment NPD
• Weeks Medical Center

  • Clinic/Center
  • Whitefield, NH
  • NPI 1508819566
  Medicare reassignment NPD
• Cottage Hospital

  • Rural Health Clinic/Center
  • Woodsville, NH
  • NPI 1275857328
  NPD
• Weeks Medical Center

  • Community/Behavioral Health Agency
  • Berlin, NH
  • NPI 1366900219
  NPD
• Weeks Medical Center

  • Clinic/Center
  • Littleton, NH
  • NPI 1578155560
  NPD
• Upper Connecticut Valley Hospital Association

  • Critical Access Hospital
  • Colebrook, NH
  • NPI 1861489437
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1568685253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HOSPITAL ROAD",
            "address_2": "EMERGENCY MEDICINE DEPARTMENT",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "03264",
            "telephone_number": "603-536-1120",
            "fax_number": "603-536-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HOSPITAL ROAD",
            "address_2": "EMERGENCY MEDICINE DEPARTMENT",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "03264",
            "telephone_number": "603-536-1120",
            "fax_number": "603-536-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADWATER",
        "first_name": "RALPH",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NH",
            "license": "8114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Bradley Botelho, APRN
• Patrick Bowers, D.O.
• Brand & Sawicki, D.D.S.
• Paul R Brand, DDS
• Sean Breidenthal, MSW, LICSW
• Mackenzie Brooks, LICSW
• Anna Brown
• Savannah Lee Brown, APRN
• Mary Louise C Brozena, AUD
• John Robert Brule, ATC

• Emergency Medicine Physician in Plymouth, NH
• Providers in Plymouth, NH by specialty
• Emergency Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.