Brian Joseph Mallette, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO2692 Issued in FL

Practice address

200 S Harbor City Blvd
Suite 102
Melbourne, FL 32901-1384

Phone

(321) 728-0117

Fax

(321) 728-0151

NPI assigned

Nov 29, 2005

Last updated

Dec 8, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mederi Caretenders Home health agency, Palm Bay, FL, CCN 108030

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bmallette71608@epicdirect.hf.org
• FHIR API: https://fhir4.healow.com/fhir/r4/IIIGAA/Endpoint/IIIGAA

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

• Brian J Mallette DPM LLC

  • Foot & Ankle Surgery Podiatrist
  • Melbourne, FL
  • NPI 1073755963
  Medicare reassignment NPD Authorized official
• Claudia R Mallette DPM LLC

  • Foot & Ankle Surgery Podiatrist
  • Melbourne, FL
  • NPI 1154565315
  NPD
• Pascarella Hoover Finkelstein & Wagner DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Altamonte Springs, FL
  • NPI 1740275635
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Caretenders Visiting Services of District 7, LLC

  dba Mederi Caretenders

  • Home Health Agency
  • Palm Bay, FL
  • NPI 1730285628
  Care Compare affiliation

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1669455291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S HARBOR CITY BLVD",
            "address_2": "SUITE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011384",
            "telephone_number": "321-728-0117",
            "fax_number": "321-728-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S HARBOR CITY BLVD",
            "address_2": "SUITE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011384",
            "telephone_number": "321-728-0117",
            "fax_number": "321-728-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLETTE",
        "first_name": "BRIAN",
        "middle_name": "JOSEPH",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Maletzke, RN
• Megan Malik
• David Joel Malis, MD
• Cassandra Mall, ATC, SCAT
• Lexus Chardanai Mallard-Martin
• Claudia R. Mallette, D.P.M.
• Keenan Ane Mallory, LCSW
• Bethany Malone
• Evadne Malone, BCBA
• Maria Malone, CLC

• Podiatrist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.