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

Individual provider Physician Assistant · NPI 1942758081

Brennan Malham, PA-C is a Physician Assistant in Springfield, Illinois. Qualified in 2016, 10 years ago. Practices with Orthopaedic Center of Il, a 30-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1301 S Koke Mill Rd
Springfield, IL 62711-9252
Phone: (217) 547-9100
Fax: (217) 547-9236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Memorial Dr, Alton, IL 62002-6722 — (618) 463-7474

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.005974 (IL)

Record details

NPI number1942758081
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 19, 2016
Last updated in NPPESNovember 22, 2024
Certification dateNovember 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Orthopaedic Center Of Il — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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