BRIAN J MALLETTE DPM LLC
NPI 1073755963
Podiatrist - Foot & Ankle Surgery in Melbourne, FL

Active since March 24, 2009
200 S HARBOR CITY BLVD, SUITE302, MELBOURNE, FL 32901(321) 728-0117(321) 728-0151 Get Directions Write a Review

NPPES record last updated: February 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brian J Mallette Dpm Llc NPPES

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

BRIAN J MALLETTE DPM LLC (NPI 1073755963) is a healthcare organization registered as a foot & ankle surgery in Melbourne, Florida and active in the NPI registry since March 2009. The organization lists Brian J. Mallette, President, as its authorized official.

NPPES Registry Identity

NPI1073755963
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameBRIAN J MALLETTE DPM LLC
Location Address200 S HARBOR CITY BLVD, SUITE302Melbourne, FL 32901-1384
Mailing Address200 S Harbor City Blvd, Suite302Melbourne, FL 32901-1384 · (321) 728-0117 · Fax (321) 728-0151
Fax(321) 728-0151
Organization SubpartNo
Authorized OfficialBrian J. MallettePresident · (321) 728-0117
Enumeration DateMarch 24, 2009
Last NPPES UpdateFebruary 18, 2015
NPI 1073755963 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
License Licensed in FL · PO2692
200 S HARBOR CITY BLVD, Melbourne, FL 32901

Other Identifiers 3

Medicare NSC6234080001FL
Medicare UPINU73392FL
Medicare PINE1878XFL

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

Other Providers at the Same Location NPPES 5

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

Counselor (Mental Health)
200 S HARBOR CITY BLVD
MELBOURNE, FL 32901
Counselor (Mental Health)
200 S HARBOR CITY BLVD
MELBOURNE, FL 32901
Podiatrist
200 S HARBOR CITY BLVD, SUITE 102
MELBOURNE, FL 32901
Counselor (Mental Health)
200 S HARBOR CITY BLVD
MELBOURNE, FL 32901
Podiatrist (Foot & Ankle Surgery)
200 S HARBOR CITY BLVD, SUITE 302
MELBOURNE, FL 32901

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 Brian J Mallette Dpm LLC's NPI number?

The NPI number for Brian J Mallette Dpm LLC is 1073755963. It was assigned to this organization in the NPPES registry on March 24, 2009.

Where is Brian J Mallette Dpm LLC located?

Brian J Mallette Dpm LLC is located at 200 S Harbor City Blvd Suite302, Melbourne, FL 32901. The listed phone number is (321) 728-0117.

What is Brian J Mallette Dpm LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Brian J Mallette Dpm LLC was last updated on February 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.