NPI age
13 years
Enumerated 2012-06-27
● Active
Type 1 · Individual
Brady Mallory, D.P.M.
Mallory is 1 of 6 podiatrist providers in Southlake and 1 of 1136 in Texas.
Primary specialty
Podiatrist
Plus 1 subspecialty
Licensed in
PA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-12-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1136 active podiatrist providers in Texas.
NPI age
13 years
≈ at median (14 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
1
In the 26% of peers with subspecialties
NPI lifetime · 2012 → 2026
2012-06Enumerated in NPPES
2012
2026
Where they practice
Practice location
1940 East Hwy 114 Suite 150
Southlake, TX 76092
Mailing address
1940 Hwy 114 Suite 150
Southlake, TX 76092
Specialties
-
Podiatrist PrimaryDefinition to come...
-
PodiatristDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1932493574 | NPI |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new podiatrist provider has been added in Southlake in the last 180 days.
See all →
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.