Brian L Mallory, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

V3904 Issued in TX

Practice address

3601 4TH St Stop 6207
Lubbock, TX 79430-6207

Phone

(806) 743-2757

NPI assigned

May 29, 2020

Last updated

Nov 21, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Texas Tech University Health Science Center School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Tech University Health Sciences Center LubbockGroup PAC ID 4385549674, 363 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Texas Tech University Health Sciences Center Lubbock

  dba TTUHSC/Anatomical Pathology

  • Anatomic Pathology Physician
  • Lubbock, TX
  • NPI 1063461358
  Medicare reassignment Care Compare group NPD
• Texas Tech University Health Sciences Center Lubbock

  dba Ttuhsc - DME

  • Durable Medical Equipment & Medical Supplies
  • Lubbock, TX
  • NPI 1053458026
  NPD
• Texas Tech University Health Sciences Center Lubbock

  dba Ttuhsc

  • Multi-Specialty Clinic/Center
  • Lubbock, TX
  • NPI 1336369669
  NPD
• Texas Tech University Health Sciences Center Lubbock

  dba TTUHSC/ Neurology

  • Neurology Physician
  • Lubbock, TX
  • NPI 1518916808
  NPD
• Texas Tech University Health Sciences Center Lubbock

  • Psychiatry Physician
  • Lubbock, TX
  • NPI 1881643179
  NPD
• Texas Tech University Health Sciences Center Lubbock

  dba TTUHSC - Anesthesiology

  • Anesthesiology Physician
  • Lubbock, TX
  • NPI 1306894175
  NPD (past)

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1871117598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 4TH ST STOP 6207",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794306207",
            "telephone_number": "806-743-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 4TH ST STOP 6207",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794306207",
            "telephone_number": "806-743-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLORY",
        "first_name": "BRIAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-29",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V3904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andie E Maldonado, PA-C
• Angie Maldonado, FNP
• Keya Malhotra, MBBS
• Erika Leigh Malick
• Lama S Malki, D.D.S.
• Mark Mallory
• Melanie Mallory, M.S. CCC-SLP
• Hallie Malone, MD
• Jake Roddie Malone, DDS
• Cathy Sue Malouf, MD

• Family Medicine Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.