Brenda Susan Mallory, M.D.
NPI 1992707111ActiveIndividual· Physical Medicine & Rehabilitation· Bloomington, IN
Physical Medicine & Rehabilitation (M.D.) in Bloomington, Indiana, licensed in IN, PA and NY, with an NPI issued in June 2005. Enrolled in Medicare as practitioner - physical medicine and rehabilitation.
Overview
| NPI | 1992707111 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 1, 2005 |
| Last updated in NPPES | Sep 1, 2020 |
| Certified by provider | Sep 1, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Medicine & Rehabilitation Primary | 208100000X | 01084397A | IN |
| Physical Medicine & Rehabilitation | 208100000X | MD440148 | PA |
| Physical Medicine & Rehabilitation | 208100000X | 191473-1 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Medicine and Rehabilitation (NE) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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