Tara Broadwater, MD

ActiveIndividual ProviderFamily Medicine
NPI issued: January 10, 2006

Quick Facts

NPI Number
1255310298
TypeIndividual
StatusActive
SpecialtyFamily Medicine
Taxonomy207Q00000X — Family Medicine
Phone
(507) 304-1899
StateMN

NPI Validation Status: Verified

Valid 10-digit NPI number (1255310298)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (January 10, 2006)
Data source: CMS NPPES

Provider Overview

TARA BROADWATER, MD is a Family Medicine provider based in Eagan, MN who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1255310298
Provider TypeIndividual Provider
GenderFemale
CredentialMD
StatusActive
Enumeration DateJanuary 10, 2006

Practice Location

CityEagan
StateMN
ZIP Code55123-2272
Phone(507) 304-1899

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207Q00000X
License StateMN

Mailing Address

CityEagan
StateMN
ZIP Code55123-2272
Phone(507) 304-1899
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1255310298 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1255310298for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1255310298 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

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199,317
Family Medicine Providers in the US

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John Robrock

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Michelle Knight, MD

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Raina Young, MD

📍 Eagan, MN 55122-2237

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Nicole Paterson, PHARM.D. BCPS

Specialty not listed

People Also Ask

What is Tara Broadwater's NPI number?
Tara Broadwater's NPI number is 1255310298, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Tara Broadwater's NPI currently active?
Yes, Tara Broadwater's NPI status is Active as of the latest CMS NPPES database updates.
What does Tara Broadwater specialize in?
Tara Broadwater specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207Q00000X.
Where does Tara Broadwater practice?
Tara Broadwater practices in Eagan, MN 55123-2272.
When was Tara Broadwater's NPI issued?
Tara Broadwater's NPI was issued on January 10, 2006.
What is Tara Broadwater's provider type?
Tara Broadwater is registered as an Individual Provider under CMS NPI Type 1.