BRENDA SUSAN MALLORY M.D.
NPI 1992707111
Physical Medicine & Rehabilitation in Bloomington,


Quality Rating: 100 out of 100 score

NPI Status: Active since June 1, 2005

Contact Information

601 W 2nd St
Bloomington,
Post Code: 47403
Phone: (812) 353-6821
Fax: -

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Brenda Susan Mallory M.d. in Bloomington - Physical Medicine & Rehabilitation

Brenda Susan Mallory M.d. is a Physical Medicine & Rehabilitation in Bloomington, . Brenda Susan Mallory M.d. practices all healthcare services and medical treatments related to Physical Medicine & Rehabilitation. The NPI Number for Brenda Susan Mallory M.d. is 1992707111. The last update date is 2020-09-01.

Brenda Susan Mallory M.d.'s current location address is 601 W 2nd St, Bloomington, . You can contact this provider via phone number (812) 353-6821 and fax number -. The mailing address for Brenda Susan Mallory M.d. is 601 W 2nd St, Bloomington, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1992707111
Provider Name
BRENDA SUSAN MALLORY M.D.
Gender
Female
Entity Type
Individual
Location Address
601 W 2nd St, Bloomington,
Location Phone
(812) 353-6821
Location Fax
-
Mailing Address
Po Box 858, Hershey, Pennsylvania(PA)
Mailing Phone
800-243-1455
Mailing Fax
-
Enumeration Date
2005-06-01
Last Update Date
2020-09-01
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Medicine & Rehabilitation

Taxonomy Code
208100000X
Type
-
License No.
01084397A
License State
Indiana (IN)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 208100000X Physical Medicine & Rehabilitation Physician

Physical Medicine & Rehabilitation

MD440148 (Pennsylvania)
2 208100000X Physical Medicine & Rehabilitation Physician

Physical Medicine & Rehabilitation

191473-1 (New York)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
01417674 MEDICAID (05) New York (NY)
1024982060001 MEDICAID (05) Pennsylvania (PA)
191473-1 Other (non-Medicare) (01) New York (NY) NY State License

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1992707111
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291821401412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 291821401412
2 + 9 + 1 + 8 + 2 + 1 + 4 + 0 + 1 + 4 + 1 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 1 1

The NPI number 1992707111 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992707103 JOSEL V MIJARES
Individual
Emergency Medicine 1116 MILLIS AVE
BOONVILLE, Indiana (IN)
812-897-7383
1992706881 INDIANA RESPIRATORY SERVICES, LLC
Organization
Durable Medical Equipment & Medical Supplies 17408 TILLER CT
WESTFIELD, Indiana (IN)
317-867-3512
1992706428 SCOTT E PHILLIPS
Individual
Otolaryngology, Otolaryngic Allergy 12188A N MERIDIAN ST
CARMEL, Indiana (IN)
317-926-1056
1992706378 LISA BEASLEY
Individual
Specialist/Technologist, Other, Surgical Technologist 1400 PROFESSIONAL BLVD
EVANSVILLE, Indiana (IN)
812-473-2642
1992705792 VALERIE J BRUDERLY
Individual
Nurse Practitioner, Psych/Mental Health 8840 COMMERCE PARK PL STE E
INDIANAPOLIS, Indiana (IN)