ANGELO MICHAEL BRUTICO NPI 1285286021

NPI Information

  • NPI: 1285286021
  • Provider Name: ANGELO MICHAEL BRUTICO
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 501 S WASHINGTON AVE STE 1000
    SCRANTON, PA
    ZIP 18505
  • Phone: (570) 941-0630

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NPI Details

Angelo Michael Brutico is a medical physician assistant in Scranton, PA. Angelo Michael Brutico NPI is 1285286021. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

501 S WASHINGTON AVE STE 1000
SCRANTON, PA
ZIP 18505-814
Phone: (570) 941-0630

The NPI 1285286021 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/11/2019 and was last updated on 12/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalMA060730PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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