MR. BRUCE DOUGLAS MALLATT M.D.
NPI 1831173921
Dermatology in Vincennes, IN

Active since December 01, 2005
100/100
CMS Quality Rating
700 WILLOW ST, SUITE 203, VINCENNES, IN 47591(812) 886-4572(812) 886-6571 Get Directions Write a Review

NPPES record last updated: January 6, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Bruce Douglas Mallatt M.d. NPPES

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

MR. BRUCE DOUGLAS MALLATT M.D. (NPI 1831173921) is an individual dermatology provider in Vincennes, Indiana, licensed in Indiana (01027539) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1831173921
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameMR. BRUCE DOUGLAS MALLATTCredential: M.D.
Location Address700 WILLOW ST, SUITE 203Vincennes, IN 47591-1028
Mailing Address700 Willow St, Suite 203Vincennes, IN 47591-1028 · (812) 886-4572 · Fax (812) 886-6571
Fax(812) 886-6571
Sole ProprietorYes
Enumeration DateDecember 1, 2005
Last NPPES UpdateJanuary 6, 2010
NPI 1831173921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in IN · 01027539
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 01027539 (IN)
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 01027539 (IN)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 01027539 (IN)
700 WILLOW ST, Vincennes, IN 47591

Other Identifiers 4

Medicare UPINA01460IN
Medicare ID-Type Unspecified442810IN
Other351505869Federal Tax Id Number
Medicaid100154760AIN

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
26 services26 patients
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm 12052
This procedure involves repairing a wound on the face, ears, eyelids, nose, lips, or mouth that measures between 2.6-5.0 cm. The process includes cleaning, suturing if necessary, and dressing the wound to promote healing and prevent infection.
24 services24 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312
This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.
13 services12 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Family)
700 WILLOW ST, SUITE 201
VINCENNES, IN 47591
Internal Medicine (Nephrology)
700 WILLOW ST, SUITE 100
VINCENNES, IN 47591
Nurse Practitioner
700 WILLOW ST, SUITE 200
VINCENNES, IN 47591
Internal Medicine
700 WILLOW ST, STE 201
VINCENNES, IN 47591
Nurse Practitioner
700 WILLOW ST
VINCENNES, IN 47591
Family Medicine
700 WILLOW ST, SUITE 200
VINCENNES, IN 47591
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
700 WILLOW ST, SUITE 102
VINCENNES, IN 47591

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 Bruce Mallatt's NPI number?

The NPI number for Bruce Mallatt is 1831173921. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Bruce Mallatt located?

Bruce Mallatt practices at 700 Willow St Suite 203, Vincennes, IN 47591. The listed phone number is (812) 886-4572.

What is Bruce Mallatt's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Bruce Mallatt was last updated on January 6, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.