Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRENDA SUSAN MALLORY, M.D.
ActiveDR. BRENDA SUSAN MALLORY, M.D. is a Physical Medicine & Rehabilitation healthcare provider located in BLOOMINGTON, Indiana. NPI 1992707111 is currently active in the NPPES registry. Verify at CMS.
Physical Medicine & Rehabilitation · BLOOMINGTON, IN
Registration Details
- NPI Number
- 1992707111
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 1, 2005 (21.241518488499 yrs)
- Last Updated
- Sep 1, 2020
- Licenses
-
MD440148 (PA)191473-1 (NY)01084397A (IN)
Practice Information
- Address
-
601 W 2ND STBLOOMINGTON, IN, 474032317Browse IN providers · Browse ZIP 47403
- Phone
- 8123536821
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
- Additional Specialty
- Physical Medicine & Rehabilitation
- Additional Specialty
- Physical Medicine & Rehabilitation
Other Physical Medicine & Rehabilitation Providers in BLOOMINGTON, IN
| Name | Credential | NPI |
|---|---|---|
| DR. J. PAUL KERN | MD | 1255313052 |
| DR. EARL J CRAIG | MD | 1912989716 |
| DR. JEFF C.C. THOMAS | M.D. | 1881621605 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.