Bronson Ambulatory Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BRONSON AMBULATORY SURGERY CENTER, LLC

Practice address

6263 Beatrice Dr
Kalamazoo, MI 49009

Phone

(269) 352-8911

Fax

(269) 341-7519

NPI assigned

Aug 29, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Hammer, RN

Title

Administrator

Phone

(269) 352-8911

Specialties & licenses 2

Addresses

Other names 1

• Bronson Orthopedic Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Listed as

Bronson Ambulatory Surgery Center LLC Dba Bronson Orthopedic Surgery CenterCCN 23C0001158

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• John Adam Driscoll

  • Orthopaedic Surgery Physician
  • Kalamazoo, MI
  • NPI 1962991497
  NPD (past)
• Robert Roland Gorman III, MD

  • Orthopaedic Foot and Ankle Surgery Physician
  • Kalamazoo, MI
  • NPI 1518935121

  Orthopaedic Surgery

  NPD (past)

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1972223394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6263 BEATRICE DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490099556",
            "telephone_number": "269-352-8911",
            "fax_number": "269-308-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6263 BEATRICE DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49009",
            "telephone_number": "269-352-8911",
            "fax_number": "269-341-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONSON AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "HAMMER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "269-352-8911",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bronson Orthopedic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathy Brockway, RD
• Sherry Ann Brockway, LMSW
• Wayne Brockway, CCJP-M
• Bronco Express Company
• Bronson Ambulatory Surgery Center
• Bronson at Home
• Bronson at Home
• Bronson Management Services
• Bronson Methodist Hospital
• Bronson Methodist Hospital

• Ambulatory Surgical Clinic/Center in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Ambulatory Surgical Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.