Charles Bruce Malone III, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

E7660 Issued in TX

Practice address

1015 E 32ND St
Ste 101
Austin, TX 78705-2700

Phone

(512) 477-6341

Fax

(512) 477-1148

NPI assigned

Jun 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1538164306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 E 32ND ST",
            "address_2": "STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052700",
            "telephone_number": "512-477-6341",
            "fax_number": "512-477-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 E 32ND ST",
            "address_2": "STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052700",
            "telephone_number": "512-477-6341",
            "fax_number": "512-477-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "CHARLES",
        "middle_name": "BRUCE",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "E7660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126497002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avantika Mallik, MD
• Rebecca T Mallory Calhoun, SLP
• Mallory Lynch, OD, PLLC
• Gwendolyn Gian Malloy, NP
• Natalie Malluru, MD, MPH
• Kathryn Malone
• Kristen Barbara Malone, PA-C
• Nicole Mikel Malone, LMSW
• Pamela Ann Malone, LCSW
• Tamela S. Malone, LCSW

• Orthopaedic Surgery Physician in Austin, TX
• Providers in Austin, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.