OrganizationActive
Ronald L. Broadwater Sr. M.d.pa
NPI 1497051395 · Primary Care Clinic/Center · Cockeysville, MD
Provider details
- NPI number
- 1497051395
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ronald Broadwater, Owner/Medical Provider(443) 281-8086
- License
- D15200 (MD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
12 Brecon Pl
Suite 400
Cockeysville, MD 21030-2343
Phone: (443) 281-8086
Fax: (443) 281-8117
Street-level locationGet directions
Mailing address
12 Brecon Pl
Cockeysville, MD 21030-2343
Registry dates
- Enumerated
- 2011-02-10
- Last updated
- 2014-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.