DR. BRENDA SUSAN MALLORY (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1992707111

DR. BRENDA SUSAN MALLORY (M.D.) is a healthcare provider. based in Bloomington, Indiana. specializing in Physical Medicine & Rehabilitation Physician. They hold the professional credentials M.D.. They hold a License No. MD440148 (PA). The NPI Number for DR. BRENDA SUSAN MALLORY (M.D.) is 1992707111

Main info

Female
Name
DR. BRENDA SUSAN MALLORY (M.D.)
NPI
1992707111
Phone
(812) 353-6821
Address
601 W 2ND ST
Enumeration Date
1 June 2005
Last Update Date
1 September 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:21State licenses:3Digital endpointsOther names

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Provider Addresses for DR. BRENDA SUSAN MALLORY (M.D.)

  • IU Health Bloomington Hospital, 601, West 2nd Street, Bloomington, Monroe County, Indiana, 47402, United States

    BLOOMINGTON, IN 474032317

    Phone: (812) 353-6821

    Type: Location

  • PO BOX 858

    MC A410

    HERSHEY, PA 170330858

    Phone: (800) 243-1455

    Type: Mailing

  • 1135 Olde W Chocolate Ave Ste 101

    Hummelstown, PA 170369188

    Phone: (717) 531-7010

    Fax: (717) 531-7102

    Type: Location

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-06-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220614001915IPhysical Medicine And RehabilitationNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes35580$0
99239Hospital discharge day management, more than 30 minutes5555$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4419$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 47403)

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Reviews

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Frequently asked questions

Is DR. BRENDA SUSAN MALLORY (M.D.) listed with a National Provider Identifier?
Yes — DR. BRENDA SUSAN MALLORY (M.D.) has NPI 1992707111 on file in the registry.
Active or inactive — what applies to DR. BRENDA SUSAN MALLORY (M.D.)?
You should see DR. BRENDA SUSAN MALLORY (M.D.) as active in CMS-hosted NPPES data.
How would a patient describe DR. BRENDA SUSAN MALLORY (M.D.)'s focus?
For DR. BRENDA SUSAN MALLORY (M.D.), the primary taxonomy reads as Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. BRENDA SUSAN MALLORY (M.D.)?
Directory geography for DR. BRENDA SUSAN MALLORY (M.D.) centers on Bloomington, Indiana.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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