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

DR. BRADLEY NATHANIEL MALLER MD
NPI 1205459054
Internal Medicine - Hematology & Oncology in Charlottesville, VA

Active since May 27, 2020PECOS Enrolled
500 MARTHA JEFFERSON DR STE 315A, CHARLOTTESVILLE, VA 22911(434) 654-8390(434) 654-8399 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 24, 2025, Jun 17, 2024, May 27, 2020 (3 updates tracked since 2020).

About Dr. Bradley Nathaniel Maller Md NPPES

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

DR. BRADLEY NATHANIEL MALLER MD (NPI 1205459054) is an individual hematology & oncology provider in Charlottesville, Virginia, licensed in Virginia (0116034551) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Richmond.

NPPES Registry Identity

NPI1205459054
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. BRADLEY NATHANIEL MALLERCredential: MD
Location Address500 MARTHA JEFFERSON DR STE 315ACharlottesville, VA 22911-4668
Mailing Address500 Martha Jefferson Dr Ste 315aCharlottesville, VA 22911-4668 · (434) 654-8390 · Fax (434) 654-8399
Fax(434) 654-8399
Sole ProprietorYes
Enumeration DateMay 27, 2020
Last NPPES UpdateJune 10, 20263 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
NPI 1205459054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in VA · 0116034551
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
500 MARTHA JEFFERSON DR STE 315A, Charlottesville, VA 22911

Secondary Practice Location 1

Location 11001 E Leigh St Fl 4Richmond, VA 23298-5004 · Phone (804) 828-7999 · Fax (804) 828-5941

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Bradley Nathaniel Maller Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22911 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Physician Assistant
500 MARTHA JEFFERSON DR STE 315A
CHARLOTTESVILLE, VA 22911

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 Bradley Maller's NPI number?

The NPI number for Bradley Maller is 1205459054. It was assigned to this individual provider in the NPPES registry on May 27, 2020.

Where is Bradley Maller located?

Bradley Maller practices at 500 Martha Jefferson Dr Ste 315A, Charlottesville, VA 22911. The listed phone number is (434) 654-8390.

What is Bradley Maller's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Bradley Maller enrolled in Medicare?

Yes. Bradley Maller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bradley Maller was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 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.