Active NPI
Bryn Mawr Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Bryn Mawr, PA
National Provider Identifier
1629517271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- BRYN MAWR SURGERY CENTER LLC
- Practice address
- 135 S Bryn Mawr Ave Ste 400
Bryn Mawr, PA 19010-3129 - Phone
- (866) 225-5654
- NPI assigned
- Feb 15, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Scheponik
- Title
- Ceo/ Administrator
- Phone
- (610) 229-9552
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
135 S Bryn Mawr Ave Ste 400
Bryn Mawr, PA 19010-3129
Mailing address
PO Box 7010
Overland Park, KS 66207-0010
Other names 1
- Orthopaedic Surgery Center at Bryn Mawr Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170425001991 | PA | Part B Supplier - Ambulatory Surgical Center | 5890072094 | Practice locations: Bryn Mawr, PA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Orthopaedic Surgery Center at Bryn Mawr Hospital
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Bryn Mawr Surgery Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Bryn Mawr, PA
- NPI 1902576218
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Philadelphia, PA
- NPI 1427259050
Member Of
Locations
11221 Roe Ave
Ste 320
Overland Park, KS 66211
Phone (913) 424-8996
135 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (484) 337-3000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744761600000",
"number": "1629517271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7010",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662070010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 S BRYN MAWR AVE STE 400",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103129",
"telephone_number": "866-225-5654"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRYN MAWR SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-15",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A",
"authorized_official_last_name": "SCHEPONIK",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "CEO/ ADMINISTRATOR",
"authorized_official_telephone_number": "610-229-9552"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Orthopaedic Surgery Center at Bryn Mawr Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bryn Mawr, PA
- Bryn Mawr Periodontal Associates, LTD.
- Bryn Mawr Personalized Primary Care
- Bryn Mawr Primary Care LLC
- Bryn Mawr Psychological Services
- Bryn Mawr Sports Medicine and Rehabilitation
- Bryn Mawr Surgery Center LLC
- Bryn Mawr Surgical Institute, Inc
- Bryn Mawr Wellness LLC
- Bryn Mawr Wound Care & Vascular Center
- Lori J Budman, MSS, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.