Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Brenda Susan Mallory, M.D.

Physical Medicine & Rehabilitation Physician in Bloomington, IN · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1992707111

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Registry record

Entity type Individual (Type 1)

Name Dr. Brenda Susan Mallory

Credential M.D.

Sex Female

Practice address 601 W 2nd St, Bloomington, IN, 47403

Phone (812) 353-6821

Enumeration date Jun 1, 2005

Last updated in NPPES Sep 1, 2020

Taxonomy & licenses

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License MD440148 (PA) Secondary

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License 191473-1 (NY) Secondary

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License 01084397A (IN) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
01417674	Medicaid	NY	-
1024982060001	Medicaid	PA	-
191473-1	Other	NY	NY STATE LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Brenda Mallory practice?

The practice location on file with NPPES is in Bloomington, IN. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Brenda Mallory?

The National Provider Identifier (NPI) for Brenda Mallory is 1992707111, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-09-01.