Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JONATHAN CHARLES MALMROSE MD
NPI 1104528595
General Practice in Jbsa Lackland, TX

Active since March 20, 2023
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236(818) 269-9567 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2024, Aug 9, 2023, Mar 20, 2023 (3 updates tracked since 2023).

About Jonathan Charles Malmrose Md NPPES

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

JONATHAN CHARLES MALMROSE MD (NPI 1104528595) is an individual general practice provider in Jbsa Lackland, Texas, licensed in Virginia (0101283765) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1104528595
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJONATHAN CHARLES MALMROSECredential: MD
Location Address1100 WILFORD HALL LOOP BLDG 4554Jbsa Lackland, TX 78236-5638
Mailing Address3551 Roger Brooke DrSan Antonio, TX 78234-4504
Sole ProprietorNo
Enumeration DateMarch 20, 2023
Last NPPES UpdateJune 15, 20263 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
NPI 1104528595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in VA · 0101283765
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
1100 WILFORD HALL LOOP BLDG 4554, Jbsa Lackland, TX 78236

Other Providers at the Same Location NPPES 20

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

Anesthesiology
1100 WILFORD HALL LOOP BLDG 4554
LACKLAND AFB, TX 78236
Marriage & Family Therapist
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Internal Medicine
1100 WILFORD HALL LOOP BLDG 4554
LACKLAND AFB, TX 78236
Allergy & Immunology
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Radiology (Diagnostic Radiology)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Pharmacist
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Chiropractor
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Optometrist
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236

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 Jonathan Malmrose's NPI number?

The NPI number for Jonathan Malmrose is 1104528595. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Jonathan Malmrose located?

Jonathan Malmrose practices at 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236. The listed phone number is (818) 269-9567.

What is Jonathan Malmrose's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Jonathan Malmrose was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.