NPI
Donnie Lee Broadwater
NPI 1841314069
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2007-03-16
- Last updated
- 2007-07-08
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 622 Powell Ave, Developmental Service
- City
- Big Stone Gap VA
- Postal code
- 24219
- Phone
- (276) 523-0682
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Big Stone Gap, VA. 278 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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