DR. BRENDA SUSAN MALLORY M.D.
NPI 1992707111
Physical Medicine & Rehabilitation in Bloomington, IN
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 3
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).
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.
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.