IndividualActive
Brenda Mallory, M.D.
NPI 1992707111 · Physical Medicine & Rehabilitation Physician · Bloomington, IN
Provider details
- NPI number
- 1992707111
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MD440148 (PA)
Mailing address
Po Box 858
Hershey, PA 17033-0858
Registry dates
- Enumerated
- 2005-06-01
- Last updated
- 2020-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.