Brenda F Mallard, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

101314 Issued in MO

Practice address

2880 Netherton Dr Ste 103
Saint Louis, MO 63136-4697

Phone

(314) 409-4595

NPI assigned

Apr 6, 2007

Last updated

Aug 14, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Pain Management Partners LLC

  • Rehabilitation Clinic/Center
  • Chesterfield, MO
  • NPI 1558557959
  NPD (past)
• Saint Louis Connectcare

  • Dermatology Physician
  • Saint Louis, MO
  • NPI 1396703278
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1942322250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 DUNN RD STE 143",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421758",
            "telephone_number": "314-409-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 NETHERTON DR STE 103",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364697",
            "telephone_number": "314-409-4595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "637 Dunn Road",
            "address_2": "Suite 143",
            "address_purpose": "LOCATION",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366149",
            "country_code": "US",
            "telephone_number": "314-409-4595",
            "fax_number": "314-838-5167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLARD",
        "first_name": "BRENDA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "101314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Malinowski, DO
• Beatriz Auxiliadora Maliszewski, MD
• Nermina Malkic, MA, LPC
• Elizabeth C Malkus, PT
• Alicia Rena Mallady, MA CCC-SLP
• Krishna Sasank Mallem, MD
• Emma Louise Mallets
• Charles Albert Mallett, B.A.
• Allison Anne Mallette, NP
• Emily Mallette, PNP-AC

• Internal Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.