Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brady Mallory, DPM

Individual provider Primary Podiatric Medicine Podiatrist · NPI 1992069777

Brady Mallory, DPM is a Primary Podiatric Medicine Podiatrist in Southlake, Texas. Licensed in Pennsylvania. Registered with an NPI since 2012.

Licensed in
PA
In the registry since
2012
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

1940 E Hwy 114 Ste 150
Southlake, TX 76092
Phone: (817) 424-3668
Fax: (817) 442-8637
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence SC006356 (PA)
Primary Podiatric Medicine Podiatrist Taxonomy 213EP1101X · Licence SC006356 (PA)

Record details

NPI number1992069777
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 27, 2012
Last updated in NPPESDecember 13, 2016
Mailing address1940 Hwy 114 Suite 150, Southlake, TX 76092