DR. BRENDA SUSAN MALLORY M.D.
NPI 1992707111
Physical Medicine & Rehabilitation in Bloomington, IN

Active since June 01, 2005PECOS Enrolled
601 W 2ND ST, BLOOMINGTON, IN 47403(812) 353-6821 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 1, 2020, Nov 16, 2018 (2 updates tracked since 2018).

About Dr. Brenda Susan Mallory M.d. NPPES

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

DR. BRENDA SUSAN MALLORY M.D. (NPI 1992707111) is an individual physical medicine & rehabilitation provider in Bloomington, Indiana, licensed in Indiana (01084397A) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hummelstown.

NPPES Registry Identity

NPI1992707111
Entity TypeIndividualFemale
Primary Taxonomy208100000X
Provider Legal NameDR. BRENDA SUSAN MALLORYCredential: M.D.
Location Address601 W 2ND STBloomington, IN 47403-2317
Mailing AddressPo Box 858, Mc A410Hershey, PA 17033-0858 · (800) 243-1455
Sole ProprietorNo
Enumeration DateJune 1, 2005
Last NPPES UpdateSeptember 1, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2020
NPI 1992707111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Licenses Licensed in IN · 01084397A Licensed in PA · MD440148 Licensed in NY · 191473-1
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
601 W 2ND ST, Bloomington, IN 47403

Secondary Practice Location 1

Location 11135 Olde W Chocolate Ave Ste 101Hummelstown, PA 17036-9188 · Phone (717) 531-7010 · Fax (717) 531-7102

Other Identifiers 3

Medicaid01417674NY
Medicaid1024982060001PA
Other191473-1NY · Ny State License

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. Brenda Susan Mallory M.d. 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.

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
601 W 2ND ST
BLOOMINGTON, IN 47403
Dietitian, Registered
601 W 2ND ST
BLOOMINGTON, IN 47403
Nurse Practitioner (Family)
601 W 2ND ST
BLOOMINGTON, IN 47403
Anesthesiology
601 W 2ND ST, DEPARTMENT OF ANESTHESIOLOGY
BLOOMINGTON, IN 47403
Hospitalist
601 W 2ND ST
BLOOMINGTON, IN 47403
Dietitian, Registered
601 W 2ND ST
BLOOMINGTON, IN 47403
Psychiatry & Neurology (Psychiatry)
601 W 2ND ST
BLOOMINGTON, IN 47403
Rehabilitation Unit
601 W 2ND ST
BLOOMINGTON, IN 47403

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 Brenda Mallory's NPI number?

The NPI number for Brenda Mallory is 1992707111. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Brenda Mallory located?

Brenda Mallory practices at 601 W 2nd St, Bloomington, IN 47403. The listed phone number is (812) 353-6821.

What is Brenda Mallory's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Brenda Mallory enrolled in Medicare?

Yes. Brenda Mallory is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brenda Mallory was last updated on September 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.