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

Dr. Brenda Susan Mallory, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1992707111

Dr. Brenda Susan Mallory, MD is a Physical Medicine & Rehabilitation Physician in Bloomington, Indiana. Works from 2 locations. Licensed in Indiana, New York and Pennsylvania.

Licensed in
IN, NY, PA
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

601 W 2nd St
Bloomington, IN 47403-2317
Phone: (812) 353-6821
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1135 Olde W Chocolate Ave Ste 101, Hummelstown, PA 17036-9188 — (717) 531-7010

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 01084397A (IN)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence MD440148 (PA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 191473-1 (NY)

Record details

NPI number1992707111
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2005
Last updated in NPPESSeptember 1, 2020
Certification dateSeptember 1, 2020

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