Broad River Physicians Group, LLC
NPI 1235659103 · Emergency Medicine Physician · Columbia, SC
Broad River Physicians Group, LLC is a Emergency Medicine Physician organization in Columbia, SC (NPI 1235659103).
Provider details
- NPI number
- 1235659103
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kim Larsen, Director of Credentialing(770) 874-5400
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-06-22
- Last updated
- 2020-02-05
- Certified
- 2020-02-05
Frequently asked questions
- What is Broad River Physicians Group, LLC's NPI number?
- Broad River Physicians Group, LLC's National Provider Identifier (NPI) is 1235659103, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broad River Physicians Group, LLC?
- Broad River Physicians Group, LLC is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Broad River Physicians Group, LLC located?
- Broad River Physicians Group, LLC's practice location on file with NPPES is 120 Gateway Corporate Blvd, Columbia, SC 29203-9611.
- What is Broad River Physicians Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Broad River Physicians Group, LLC is (803) 865-4500.
- Who is the authorized official for Broad River Physicians Group, LLC?
- The authorized official listed on Broad River Physicians Group, LLC's NPPES record is Kim Larsen, Director of Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broad River Physicians Group, LLC's NPI active?
- Yes — Broad River Physicians Group, LLC's NPI (1235659103) is active in the NPPES registry as of the last update on 2020-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.