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

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: August 09, 2026.

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

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
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

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

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot & Ankle Surgery)
255 EAST GROVE STREET
CLARKS SUMMIT, PA 18411
Internal Medicine
255 EAST GROVE STREET
CLARKS SUMMIT, PA 18411

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.

What insurance does Brutico Foot And Ankle Surgery, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Brutico Foot And Ankle Surgery, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.