NPIMap

Individual provider Active NPI

Anthony Gabriel Brutico, DPM

  • Foot & Ankle Surgery Podiatrist
  • Honesdale, PA
National Provider Identifier
1740787647
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC006909 Issued in PA
Practice address
Honesdale Podiatry
600 Maple Ave, Suite 4
Honesdale, PA 18431
Phone
(570) 253-8177
Fax
(484) 763-3777
NPI assigned
Apr 9, 2018
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC0069O9 PA
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X SC006909 PA Primary

Addresses

Primary practice location

Honesdale Podiatry
600 Maple Ave, Suite 4
Honesdale, PA 18431

Mailing address

600 Maple Ave
Suite 4
Honesdale, PA 18431
Phone (570) 253-8177

Other practice location 1

1439 Monroe Ave Ste 3
Dunmore, PA 18509-2497
Phone (570) 845-9446

Other practice location 2

Geisinger Medical Center 100 North Academy Avenue
Danville, PA 17822-0001
Phone (570) 271-6211

Other practice location 3

300 Community Dr
Tobyhanna, PA 18466-8978
Phone (570) 839-9880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210923003271 PA Practitioner - Podiatry 5496007395 Reassigns benefits to 2 organizations
Practice locations: Dunmore, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

412 Como Rd
Lake Como, PA 18437-1020
Phone (570) 798-2828

600 Maple Ave
Suite 2
Honesdale, PA 18431-1436
Phone (570) 251-6672

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006909PAMDFoot & Ankle Surgery Podiatrist
SC0069O9PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brutico Foot and Ankle Surgery, LLC Foot & Ankle Surgery CurrentSince Aug 1, 2022 Accepting new patients
Wayne Memorial Community Health Centers CurrentSince Apr 2, 2024 Accepting new patients
Regional Foot & Ankle Center PC Foot & Ankle Surgery CurrentSince Nov 30, 2021 Accepting new patients
Wayne Memorial Community Health Centers CurrentSince Apr 2, 2024 Accepting new patients

Locations

255 E Grove St
Clarks Green, PA 18411
Phone (570) 209-7878

600 Maple Ave
Ste 4
Honesdale, PA 18431
Phone (570) 251-6672

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

412 Como Rd
Lake Como, PA 18437
Phone (570) 775-7100

1439 Monroe Ave
Ste 3
Scranton, PA 18509
Phone (570) 335-2862

409 N Main Ave
Scranton, PA 18504
Phone (570) 342-8731

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1740787647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MAPLE AVE",
            "address_2": "SUITE 4",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "18431",
            "telephone_number": "570-253-8177",
            "fax_number": "484-763-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HONESDALE PODIATRY",
            "address_2": "600 MAPLE AVE, SUITE 4",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "18431",
            "telephone_number": "570-253-8177",
            "fax_number": "484-763-3777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1439 Monroe Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Dunmore",
            "state": "PA",
            "postal_code": "185092497",
            "country_code": "US",
            "telephone_number": "570-845-9446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Geisinger Medical Center 100 North Academy Avenue",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "PA",
            "postal_code": "178220001",
            "country_code": "US",
            "telephone_number": "570-271-6211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Community Dr",
            "address_purpose": "LOCATION",
            "city": "Tobyhanna",
            "state": "PA",
            "postal_code": "184668978",
            "country_code": "US",
            "telephone_number": "570-839-9880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUTICO",
        "first_name": "ANTHONY",
        "middle_name": "GABRIEL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-09",
        "last_updated": "2025-01-15",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC0069O9",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honesdale, PA

Sources for this page

Verify at the official NPI Registry.