DR. BRIAN MALLOY (NPI# 1629518972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629518972 |
| Entity Type | Individual |
| Full Name | DR. BRIAN MALLOY |
| Credential | D.C |
| Practice Address |
1646 Colonial Blvd Fort Myers FL 33907-1153 |
| Mailing Address |
1646 Colonial Blvd Apt 102 Fort Myers FL 33907-1153 |
| Practice Telephone | 2399362911 |
| Practice Fax Number | 2369362811 |
| Mailing Telephone | 2399362911 |
| Mailing Fax Number | 2399362811 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH12087 | FL | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093796906 | Brian F Malloy | Family Medicine | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2005-11-08 |
| 1902807860 | Brian J Malloy | Urology | 1401 25th St S, Great Falls, MT 59405-5183 | 2005-08-02 |
| Street Address |
1646 COLONIAL BLVD |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33907-1153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174799175 | Victor J Drobnic D.c. P.a. | Chiropractor | 1646 Colonial Blvd, Suite 1, Fort Myers, FL 33907 | 2008-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
| 1003462268 | Ronny Rodolfo Herrera | Behavior Technician | Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 | 2019-08-14 |
| 1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
| 1437648391 | Rita Lusinete Rabitt | Registered Nurse | 14084 Clear Water Ln, Fort Myers, FL 33907 | 2018-05-07 |
| 1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
| 1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
| 1942730692 | Concierge Care of Fort Myers, LLC | In Home Supportive Care | 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 | 2017-06-15 |
| 1710411467 | Johnnie Terrell | Social Worker | 43 Barkley Cir #102, Fort Myers, FL 33907 | 2017-04-19 |
| 1881041184 | Hchs Medical Center | Clinic/Center | 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 | 2016-05-17 |
| 1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
| Find all providers in zip 33907 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912547720 | Luis Jose Sepulveda | Chiropractor | 12437 Brantley Commons Ct, Fort Myers, FL 33907-5682 | 2020-01-09 |
| 1871137760 | Connor Joseph Heney | Chiropractor | 3114 Champion Ring Rd Apt 302, Fort Myers, FL 33905-5647 | 2019-11-04 |
| 1770139933 | Colonial Chiropractic, Inc | Chiropractor | 1570 Colonial Blvd Ste B, Fort Myers, FL 33907-1031 | 2019-08-14 |
| 1801352992 | Fort Myers Central Chiropractic LLC | Chiropractor | 4575 Via Royale Ste 203, Fort Myers, FL 33919-1018 | 2019-02-14 |
| 1093282816 | Brock S Frear Dc Pllc | Chiropractor | 11621 S Cleveland Ave Ste 80, Fort Myers, FL 33907-2866 | 2018-10-30 |
| 1760958250 | Corey Whitney | Chiropractor | 3635 Central Ave, Fort Myers, FL 33901-8218 | 2018-10-23 |
| 1992219141 | Dr. Brooke Iwanski Dc LLC | Chiropractor | 1791 Boy Scout Dr Ste 6, Fort Myers, FL 33907-2137 | 2017-11-27 |
| 1902348196 | Gerardo Alfaro Jr. | Chiropractor | 42 Barkley Cir Ste 2, Fort Myers, FL 33907-4543 | 2016-11-06 |
| 1003289513 | Matthew Edward Mccabe I | Chiropractor | 10491 6 Mile Cypress Pkwy, Fort Myers, FL 33966-6406 | 2015-11-05 |
| 1710374483 | Sean Matthew Kirkpatrick | Chiropractor | 2642 Newton Ave, Fort Myers, FL 33901-5831 | 2015-04-21 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33907 |
Please comment or provide details below to improve the information on DR. BRIAN MALLOY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.