ASC Development Company LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ASC DEVELOPMENT COMPANY LLC

Practice address

8824 Cunningham Dr
Suite D
Berwyn Heights, MD 20740-2338

Phone

(240) 965-0800

Fax

(240) 290-0037

NPI assigned

Jul 18, 2011

Last updated

Jun 2, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard J Brouillette, DO

Title

Regional Medical Director

Phone

(410) 787-8315

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306134838. Details of each certification follow.

• CCN 21C0001530 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 21C0001530

Legal name

ASC DEVELOPMENT COMPANY, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Sep 25, 2012

Last certification

Sep 20, 2018

Ownership / control type

Proprietary

Facility address

8824 Cunningham Dr, Suite B
Berwyn Heights, MD 20740

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1306134838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931606",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311931606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8824 CUNNINGHAM DR",
            "address_2": "SUITE D",
            "city": "BERWYN HEIGHTS",
            "state": "MD",
            "postal_code": "207402338",
            "telephone_number": "240-965-0800",
            "fax_number": "240-290-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASC DEVELOPMENT COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "BROUILLETTE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "REGIONAL MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-787-8315",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Berwyn Heights, MD
• Providers in Berwyn Heights, MD by specialty
• Ambulatory Surgical Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.