{"npi":"1639301005","type":"NPI-2","status":"active","name":{"display":"Henrico Surgical Specialists, LLC","other":[],"organization_name":"HENRICO SURGICAL SPECIALISTS, LLC","authorised_official":"Suzanne Bergamo"},"specialty":{"primary_taxonomy":"208600000X","primary_taxonomy_description":"Surgery","slug":"surgery","schema_org_specialty":"Surgical","all":[{"code":"208600000X","description":"Surgery","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"7607 FOREST AVE STE 220","city":"RICHMOND","state":"VA","postal_code":"232294913","country_code":"US","phone":"8042859416"},{"purpose":"MAILING","street_1":"2000 HEALTH PARK DR","city":"BRENTWOOD","state":"TN","postal_code":"370274692","country_code":"US","street_2":"MOB III, SUITE 302","phone":"6153737406"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"1639301005","state":"VA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20091026000210","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"VA","pac_id":"3375680234"}]},"enumeration_date":"2009-08-18","last_updated":"2025-11-20","_meta":{"source":"NPPES","snapshot_date":"2025-11-20","doc_url":"https://findmynpi.com/api"}}