TARA L BROADWATER MD
NPI 1255310298
Family Medicine in Eagan,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 10, 2006

Contact Information

898 Wescott Trl Apt 311
Eagan,
Post Code: 55123
Phone: (507) 304-1899
Fax: -

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Tara L Broadwater Md in Eagan - Family Medicine

Tara L Broadwater Md is a Family Medicine in Eagan, . Tara L Broadwater Md practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Tara L Broadwater Md is 1255310298. The last update date is 2023-04-26.

Tara L Broadwater Md's current location address is 898 Wescott Trl Apt 311, Eagan, . You can contact this provider via phone number (507) 304-1899 and fax number -. The mailing address for Tara L Broadwater Md is 898 Wescott Trl Apt 311, Eagan, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1255310298
Provider Name
TARA L BROADWATER MD
Gender
Female
Entity Type
Individual
Location Address
898 Wescott Trl Apt 311, Eagan,
Location Phone
(507) 304-1899
Location Fax
-
Mailing Address
898 Wescott Trl Apt 311, Eagan, Minnesota(MN)
Mailing Phone
507-304-1899
Mailing Fax
-
Enumeration Date
2006-01-10
Last Update Date
2023-04-26
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology, Psychiatry

Taxonomy Code
2084P0800X
Type
-
License No.
40655
License State
Minnesota (MN)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 207Q00000X Family Medicine Physician

Family Medicine

40655 (Minnesota)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0573816 Other (non-Medicare) (01) Iowa (IA) Medicaid
124673 Other (non-Medicare) (01) Minnesota (MN) UCare
1965380 Other (non-Medicare) (01) Minnesota (MN) Americas PPO
388R8BU Other (non-Medicare) (01) Minnesota (MN) BCBS
41084933956001C212 Other (non-Medicare) (01) () Champus
526011600 MEDICAID (05) Minnesota (MN)
HP36174 Other (non-Medicare) (01) Minnesota (MN) Health Partners
NA2951032151 Other (non-Medicare) (01) Minnesota (MN) Preffered One
P00138242 Other (non-Medicare) (01) () RR Medicare

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255310298
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105610218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 22105610218
2 + 2 + 1 + 0 + 5 + 6 + 1 + 0 + 2 + 1 + 8 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 8 8

The NPI number 1255310298 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164425112 BRIAN JOHN ISETTS
Individual
Pharmacist, Pharmacotherapy 3510 WILD TURKEY RD
RED WING, Minnesota (MN)
651-385-8353
1114920147 RIVER OAKS HOME HEALTH CARE LLC
Organization
Home Health 900 3RD ST
INTERNATIONAL FALLS, Minnesota (MN)
218-283-3031
1073516266 JOSEPH MICHAEL KLICK
Individual
Nurse Anesthetist, Certified Registered 717 S STATE ST
FAIRMONT, Minnesota (MN)
507-235-3939
1043213218 MICHAEL JOSEPH BAWEK
Individual
Chiropractor 10532 DREW AVE S
BLOOMINGTON, Minnesota (MN)
952-884-1910
1063415263 NATURAL LIVING, INC
BIOSCRIP PHARMACY
Organization
Durable Medical Equipment & Medical Supplies 10050 CROSSTOWN CIR
EDEN PRAIRIE, Minnesota (MN)
800-753-5995