BRUTICO FOOT AND ANKLE SURGERY, LLC
NPI 1154057362
Podiatrist - Foot & Ankle Surgery in Clarks Summit, PA

Q: What is Brutico Foot And Ankle Surgery, LLC's NPI number?

The NPI number for Brutico Foot And Ankle Surgery, LLC is 1154057362. It was assigned to this organization in the NPPES registry on July 29, 2022.

Q: What is Brutico Foot And Ankle Surgery, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Active since July 29, 2022

255 EAST GROVE STREET, CLARKS SUMMIT, PA 18411(570) 936-2960(570) 936-2961 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 14, 2024, Jul 10, 2023, Jul 29, 2022 (3 updates tracked since 2022).

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About Brutico Foot And Ankle Surgery, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRUTICO FOOT AND ANKLE SURGERY, LLC (NPI 1154057362) is a healthcare organization registered as a foot & ankle surgery in Clarks Summit, Pennsylvania and active in the NPI registry since July 2022. The organization maintains a secondary practice location in Scranton and lists Tara Balsley, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1154057362

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NameBRUTICO FOOT AND ANKLE SURGERY, LLC

Location Address255 EAST GROVE STREETClarks Summit, PA 18411

Mailing Address255 East Grove StreetClarks Summit, PA 18411 · (570) 936-2960 · Fax (570) 936-2961

Phone(570) 936-2960

Fax(570) 936-2961

Organization SubpartNo

Authorized OfficialTara BalsleyPractice Administrator · (215) 259-5080

Enumeration DateJuly 29, 2022

Last NPPES UpdateMay 14, 20243 updates tracked since enumeration

NPPES CertifiedMay 7, 2024

✔ NPI 1154057362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

255 EAST GROVE STREET, Clarks Summit, PA 18411

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Secondary Practice Location 1

Location 1409 N Main AveScranton, PA 18504-1798 · Phone (570) 936-2960 · Fax (570) 936-2961

Other Identifiers 1

Medicaid103894240PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brutico Foot And Ankle Surgery, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Brutico Foot And Ankle Surgery, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Sokieu Brutico, DPM

Podiatry

NPI 1114412368

255 EAST GROVE STREET
Clarks Summit, PA 18411

(570) 936-2960

✔ PECOS✔ Accepts MedicareSame address

Anthony Brutico, DPM

Podiatry

NPI 1740787647

HONESDALE PODIATRY 600 MAPLE AVE, SUITE 4
Honesdale, PA 18431

(570) 253-8177

✔ PECOS✔ Accepts Medicare23 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brutico Foot And Ankle Surgery, LLC's NPI number?

The NPI number for Brutico Foot And Ankle Surgery, LLC is 1154057362. It was assigned to this organization in the NPPES registry on July 29, 2022.

Where is Brutico Foot And Ankle Surgery, LLC located?

Brutico Foot And Ankle Surgery, LLC is located at 255 East Grove Street, Clarks Summit, PA 18411. The listed phone number is (570) 936-2960.

What is Brutico Foot And Ankle Surgery, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Brutico Foot And Ankle Surgery, LLC enrolled in Medicare?

Yes. Brutico Foot And Ankle Surgery, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brutico Foot And Ankle Surgery, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Brutico Foot And Ankle Surgery, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Brutico Foot And Ankle Surgery, LLC was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.