Organization Active NPI

Henrico Surgical Specialists, LLC

  • Surgery Physician
  • Richmond, VA
National Provider Identifier
1639301005
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
HENRICO SURGICAL SPECIALISTS, LLC
Practice address
7607 Forest Ave Ste 220
Richmond, VA 23229-4913
Phone
(804) 285-9416
NPI assigned
Aug 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Suzanne Bergamo
Title
VP
Phone
(804) 267-5950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

7607 Forest Ave Ste 220
Richmond, VA 23229-4913

Mailing address

2000 Health Park Dr
Mob III, Suite 302
Brentwood, TN 37027-4692
Phone (615) 373-7406

Other identifiers 1

IdentifierTypeStateIssuer
1639301005MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091026000210 VA Part B Supplier - Clinic/Group Practice 3375680234 Receives reassigned benefits from 33 practitioners
Practice locations: Richmond, VA; Henrico, VA; Mechanicsville, VA; Fredericksburg, VA

National Provider Directory

National Provider Directory

Member of 1

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

Locations

2000 Health Park Dr
Ste 302
Brentwood, TN 37027

7016 Lee Park Rd
#101
Mechanicsville, VA 23111
Phone (804) 200-1850

9275 Chamberlayne Rd
Ste 120
Mechanicsville, VA 23116
Phone (804) 285-9416

7016 Lee Park Rd
Ste 101B
Mechanicsville, VA 23111

8919 Three Chopt Rd
Richmond, VA 23229
Phone (804) 285-4763

7660 E Parham Rd
Ste 103
Richmond, VA 23294
Phone (804) 965-0690

8919 Three Chopt Rd
Ste 300
Richmond, VA 23229

7607 Forest Ave
Ste 220
Richmond, VA 23229
Phone (804) 285-9416

Practitioners & affiliated clinicians

Practitioners 68

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 68

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1639301005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "address_2": "MOB III, SUITE 302",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-373-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7607 FOREST AVE STE 220",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294913",
            "telephone_number": "804-285-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRICO SURGICAL SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "BERGAMO",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "804-267-5950"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639301005",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.