BERGMAN EYE SURGERY CENTER LLC NPI 1235304312

NPI Information

  • NPI: 1235304312
  • Provider Name: BERGMAN EYE SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QS0132X
  • Specialization: Ophthalmologic Surgery
  • Entity Type: Organization
  • Doing Business As: PHYSICIAN'S SURGERY CENTER
  • CLIA Number: 21D1085741
  • Address: 220 CHAMPION DR
    SUITE 101
    HAGERSTOWN, MD
    ZIP 21740
  • Phone: (301) 791-0888

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NPI Details

BERGMAN EYE SURGERY CENTER, LLC is an ophthalmologic surgery clinic center in Hagerstown, MD. BERGMAN EYE SURGERY CENTER, LLC NPI is 1235304312. The provider is registered as an organization entity type.
The provider Is Doing Business As Physician's Surgery Center.

The provider's business location address is:

220 CHAMPION DR
SUITE 101
HAGERSTOWN, MD
ZIP 21740-558
Phone: (301) 791-0888
Fax: (301) 791-3611

The provider's authorized official is Augustus Graham Stern .
The authorized official title is Owner and has the following contact phone number (301) 791-0888.

The CLIA number assigned to this NPI record is 21D1085741 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml (HCPCS:J1097)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Dilation to improve eye fluid flow (HCPCS:66174)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Insertion of initial aqueous fluid drainage device into eye (HCPCS:0449T)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Creation of shunt to improve eye fluid flow using tissue graft (HCPCS:66180)

The enumeration date for this NPI number is 4/29/2008 and was last updated on 4/30/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS0132XClinic/CenterOphthalmologic SurgeryMDPSCASCMARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1144779MEDICARE PINMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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