Brightside Surgical, LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Bismarck, ND
NPI 1962059915 · NPPES record last updated Feb 18, 2025
Key facts
- NPI
- 1962059915
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- Legal business name
- BRIGHTSIDE SURGICAL, LLC
- Practice address
- 401 N 9TH St
Bismarck, ND 58501-4530 - Phone
- (701) 877-1550
- Fax
- (701) 877-1555
- NPI assigned
- Aug 23, 2019
- Organization subpart
- No
Authorized official
- Name
- Dale Aman
- Title
- Business Manager
- Phone
- (701) 877-2049
Other NPIs on the same Medicare enrollment 2
Practitioners 17
-
Brandi Rose Christmann, NP-C
-
Hannah Mae Hauff, PA-C
-
Nicholas Andrew Battista, M.D.
-
Stephanie Michael Delvo, M.D.
-
Derek Douglas Kane, MD MS
-
Kevin A Karls, M.D.
-
Andrew Dean Knudsen, DPM
-
Rachel Marohl, M.D.
-
Douglas John Renton, M.D.
-
Jill Marie Steinle, M.D.
-
Rebecca Holly Swenson, D.O.
-
Marissa Ann Wisdom, M.D.
-
Steven Gary Yearsley, M.D.
-
Syed W Zaidi, M.D.
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Brightiside Surgical
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200313001830 | ND | Part B Supplier - Ambulatory Surgical Center | 2466880083 | Practice locations: Bismarck, ND |
| O20240826003256 | ND | Part B Supplier - Clinic/Group Practice | 2163961855 |
Receives reassigned benefits from 8 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bismarck, ND |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Yes |
Addresses
Primary practice location
401 N 9TH St
Bismarck, ND 58501-4530
Mailing address
401 N 9TH St
Bismarck, ND 58501-4530
Phone (701) 877-1550
Other providers in Bismarck, ND
- Brian R Jesperson, DDS, Ms, PC
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- Brighter Day Health LLC
- Nathan Aaron Bro
- Clay Burt Broadwell
- Brock Oukrop PC Dba: Dakota Family Smiles
- David A Brooks
- Tonisha Brooks
All providers in Bismarck, ND · Ambulatory Surgical Clinic/Center in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.