DEVIN R. BROADWATER M.D. – NPI #1609301779
Pathology

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Health Care Provider Taxonomy Code for Pathology

DEVIN BROADWATER is a pathologist located in SLIDELL, LA. NPPES has assigned the NPI number 1609301779 to DEVIN BROADWATER on April 26, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207ZP0102X from the Health Care Provider Taxonomy code set, which is classified as Pathology, specializing in Anatomic Pathology & Clinical Pathology

The NPI profile was last updated on Oct 02, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEVIN BROADWATER below.

NPI Profile for
DEVIN R. BROADWATER

NPI Number
1609301779
Enumeration Date

(more than 9 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DEVIN R. BROADWATER
Credentials
M.D.
Primary location
1001 GAUSE BLVD
SLIDELL, LA 70458-2987
Phone: (985) 280-2200 Fax:
2 Other location(s):
150 Reynoir St
Biloxi, MS 39530-4130
Phone: (228) 432-1571
Fax: (419) 866-5453
3551 Roger Brooke Dr
SAUSHEC Pathology Residency Program
Jbsa Ft Sam Houston, TX 78234-4504
Phone: (210) 916-6807
Mailing address
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121-2429
Phone: (504) 842-3000 Fax:
Sole Proprietor
No
Updated
Certification Date
Oct 02, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ZP0102X
- Pathology / Anatomic Pathology & Clinical Pathology (Primary)		 MS 29686
208D00000X
- General Practice		 NE 31052

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE - Graduated 2017
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
DEVIN BROADWATER is affiliated with the following medical group(s):
  • HOSPITAL
    • MEMORIAL HOSPITAL AT GULFPORT
      4500 13TH STREET
      GULFPORT, MS 39502
    • MERIT HEALTH BILOXI
      150 REYNOIR STREET
      BILOXI, MS 39530

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