Denis Michael Malcolm, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

681173 Issued in TX

Practice address

1495 N Harbor City Blvd Ste E
Melbourne, FL 32935-6572

Phone

(321) 253-0846

NPI assigned

Sep 16, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bradley W Nordyke MD

  • General Practice Physician
  • Brownsville, TX
  • NPI 1871772855
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1154316073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 N HARBOR CITY BLVD STE E",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329356572",
            "telephone_number": "321-253-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 N HARBOR CITY BLVD STE E",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329356572",
            "telephone_number": "321-253-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOLM",
        "first_name": "DENIS",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "681173",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9321278",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mailis Soler, DMD, Ms, PLLC
• Diane Hermanie Mainwold, D.O.
• Anjali Majan
• Lina Majdalany
• Noah Kamal Majeed, M.S.
• Kara Maldonado, APRN
• Lisandra Maldonado, APRN
• John Malek, RPH
• David Maletzke, RN
• Megan Malik

• Family Nurse Practitioner in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.