Rebecca Lee Mallett, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101010750 Issued in MI

Practice address

7404 W H Ave
Kalamazoo, MI 49009-8586

Phone

(269) 372-8233

Fax

(269) 375-9662

NPI assigned

May 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Rebecca Lee Brundige Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730391194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7404 W H AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490098586",
            "telephone_number": "269-372-8233",
            "fax_number": "269-375-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7404 W H AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490098586",
            "telephone_number": "269-372-8233",
            "fax_number": "269-375-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLETT",
        "first_name": "REBECCA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101010750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "BRUNDIGE",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Seth Malin, M.D.
• Natalya J. Malinchoc Federinko, LPC
• Rajeev Reddy Malireddy, MD
• Sarah Mallah
• Kathleen Mallender, CNM
• Timothy John Mallett, RPH
• William Maxwell Malloy
• Lauren Malone
• Joyce Ann Maloney
• Tiffany Malory, LPC

• Family Medicine Physician in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.