RONALD A BROADWELL (MD) – Diagnostic Radiology Physician, NPI 1154363588

RONALD A BROADWELL (MD) is a healthcare provider. based in Roanoke, Virginia. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 0101050828 (VA). The NPI Number for RONALD A BROADWELL (MD) is 1154363588

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
RONALD A BROADWELL (MD)
NPI
1154363588
Phone
(540) 981-7553
Address
PO BOX 12668
Enumeration Date
11 June 2006
Last Update Date
13 August 2013

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5405810882
Graduation Year
1989 (37 years ago)
PAC ID
4880625326
Group Practice PAC ID
8729269048
Professional Enrollment ID
I20080325000605
Address ID
VA240141001RO2923XSWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,529 DIAGNOSTIC RADIOLOGY in VA

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Provider Addresses for RONALD A BROADWELL (MD)

  • USPS Roanoke PO Box Area, 516, East Byron Nelson Boulevard, Roanoke, Denton County, Texas, 76262, United States

    ROANOKE, VA 240272668

    Phone: (540) 981-7553

    Type: Mailing

  • LewisGale Medical Center, 1900, Electric Road, Ridgewood Farm, Salem, Salem (city), Virginia, 24153, United States

    SALEM, VA 241537474

    Phone: (540) 776-4055

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-03-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080325000605IDiagnostic RadiologyVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
A9575Injection, gadoterate meglumine, 0.1 ml27,811166$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml12,590128$0
Q9966Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml30917$0
72148Mri scan of lower spinal canal without contrast227222$0
71046X-ray of chest, 2 views162146$0
View full utilization report →

Insurance plans in this area (ZIP 24027)

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Provider's Procedures

RONALD A BROADWELL (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYVA73110X-ray of wrist, minimum of 3 views2923
DIAGNOSTIC RADIOLOGYVA73562X-ray of knee, 3 views2415
DIAGNOSTIC RADIOLOGYVA74177CT scan of abdomen and pelvis with contrast5929
DIAGNOSTIC RADIOLOGYVA76830Ultrasound pelvis through vagina1212
DIAGNOSTIC RADIOLOGYVA76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle2222

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729269048View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm RONALD A BROADWELL (MD)'s NPI?
Yes. RONALD A BROADWELL (MD) is listed with NPI 1154363588 in the public NPI dataset.
Is RONALD A BROADWELL (MD) still practicing?
RONALD A BROADWELL (MD) is currently listed as active in the public NPI registry.
What is RONALD A BROADWELL (MD)'s specialty?
The listing groups RONALD A BROADWELL (MD) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect RONALD A BROADWELL (MD) on a map?
Expect Roanoke, Virginia as a primary anchor for RONALD A BROADWELL (MD) unless the record lists multiple sites.
Why does RONALD A BROADWELL (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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