Anthony D. Bruno II, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MD431043 Issued in PA

Practice address

50 Glenmaura National Blvd
Ste 103
Moosic, PA 18507-2124

Phone

(570) 354-2565

Fax

(570) 354-2120

NPI assigned

Jul 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1295933802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 GLENMAURA NATIONAL BLVD",
            "address_2": "STE 103",
            "city": "MOOSIC",
            "state": "PA",
            "postal_code": "185072124",
            "telephone_number": "570-354-2565",
            "fax_number": "570-354-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 GLENMAURA NATIONAL BLVD",
            "address_2": "STE 103",
            "city": "MOOSIC",
            "state": "PA",
            "postal_code": "185072124",
            "telephone_number": "570-354-2565",
            "fax_number": "570-354-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "ANTHONY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD431043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019339930001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Braceys Supermarket Inc Moosic
• Megan Elizabeth Brack, LMSW
• Cheyanne Nicole Brandt, MD
• Tarah Brennan, PA-C
• Bruno Plastic Surgery, PC
• Danielle Burge, LPC
• Ethan Calafut
• Mary E. Callahan, RN MSM CRNP
• CD Glenmaura LLC
• Stacy Lynn Cella, PHARMD

• All providers in Moosic, PA
• Plastic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.