BRIAN JOSEPH MALLETTE D.P.M. NPI 1669455291

NPI Information

  • NPI: 1669455291
  • Provider Name: BRIAN JOSEPH MALLETTE, D.P.M.
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 200 S HARBOR CITY BLVD
    SUITE 102
    MELBOURNE, FL
    ZIP 32901
  • Phone: (321) 728-0117

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NPI Details

Brian Joseph Mallette, D.P.M. is a podiatrist in Melbourne, FL with 30 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Brian Joseph Mallette, D.P.M. NPI is 1669455291. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1995

The provider's business location address is:

200 S HARBOR CITY BLVD
SUITE 102
MELBOURNE, FL
ZIP 32901-384
Phone: (321) 728-0117
Fax: (321) 728-0151

The NPI 1669455291 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection into tendon at attachment to bone or muscle (HCPCS:20551)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Biopsy of fingernail or toenail (HCPCS:11755)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Injection of anesthetic agent and/or steroid into other nerve or branch (HCPCS:64450)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
  • Simple or single drainage of skin abscess (HCPCS:10060)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 11/29/2005 and was last updated on 12/8/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristPO2692FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
165643OTHERFLORIDABLUE CROSS BLUE SHIELD
2480031393OTHERFLORIDARAILROAD MEDICARE
39415057001OTHERFLORIDACIGNA
4E1878XMEDICARE PINFLORIDA
55532704OTHERFLORIDAAETNA
6U73392MEDICARE UPINFLORIDA
72605728OTHERFLORIDAAETNA
8261086800MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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