MR. BRUCE DOUGLAS MALLATT (M.D.) – Dermatology Physician, NPI 1831173921

MR. BRUCE DOUGLAS MALLATT (M.D.) is a healthcare provider. based in Vincennes, Indiana. specializing in Dermatology Physician. They hold the professional credentials M.D.. They hold a License No. 01027539 (IN). The NPI Number for MR. BRUCE DOUGLAS MALLATT (M.D.) is 1831173921

Main info

Male
Sole Proprietor
49 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRUCE DOUGLAS MALLATT (M.D.)
NPI
1831173921
Phone
(812) 886-4572
Address
700 WILLOW ST
Enumeration Date
1 December 2005
Last Update Date
6 January 2010

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8128864572
Graduation Year
1977 (49 years ago)
PAC ID
1658459110
Group Practice PAC ID
6103182258
Professional Enrollment ID
I20080612000574
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. BRUCE DOUGLAS MALLATT (M.D.)

  • 700, Willow Street, Vincennes, Knox County, Indiana, 47591, United States

    SUITE 203

    VINCENNES, IN 475911028

    Phone: (812) 886-4572

    Fax: (812) 886-6571

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks1414$0
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Insurance plans in this area (ZIP 47591)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103182258View full group profile
NameSpecialtyState
EMILY JO BOBE (FNP-C)
Nurse PractitionerIN
MINDI M. MORRIS (M.D.)
D E R M A T O L O G YIN

Reviews

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Frequently asked questions

Is there an official ID for MR. BRUCE DOUGLAS MALLATT (M.D.) in U.S. healthcare records?
The official identifier for MR. BRUCE DOUGLAS MALLATT (M.D.) is NPI 1831173921.
Is there an active status for MR. BRUCE DOUGLAS MALLATT (M.D.)?
For scheduling context, MR. BRUCE DOUGLAS MALLATT (M.D.) is shown as active in the registry.
How would a patient describe MR. BRUCE DOUGLAS MALLATT (M.D.)'s focus?
For MR. BRUCE DOUGLAS MALLATT (M.D.), the primary taxonomy reads as Dermatology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. BRUCE DOUGLAS MALLATT (M.D.)?
Directory geography for MR. BRUCE DOUGLAS MALLATT (M.D.) centers on Vincennes, Indiana.
Does MR. BRUCE DOUGLAS MALLATT (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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