Organization Active NPI

Bryn Mawr Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Bryn Mawr, PA
National Provider Identifier
1629517271
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Apr 16, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 HospitalCCN 39C0001326
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Bryn Mawr Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

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

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.

Verify at the official NPI Registry.