Brady Mallory
D.P.M. | Podiatrist - Primary Podiatric Medicine
1940 East Hwy 114 Suite 150, Southlake
Texas, 76092
817-424-3668 817-442-8637
Maps & DirectionsBrady Mallory is a Southlake, Texas based podiatrist who is specialized in Primary Podiatric Medicine. Active license number of Brady Mallory for Podiatric Foot & Ankle Surgery is SC006356 in Pennsylvania.
Brady Mallory provides care, treatment and management of the diabetic, elderly and circulation-impaired. The diagnosis, intervention and treatment on time may save patients from amputation, restore mobility or prevent other serious, more costly problems. By early detection patients can get appropriate treatment and prevent more serious problems.
Complete Profile:
Brady Mallory speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Primary Podiatric Medicine |
| Credentials: | D.P.M. |
| Gender: | Male |
| Practice Address: | 1940 East Hwy 114 Suite 150, Southlake,
Texas, 76092 |
| Phone: | 817-424-3668 |
| Fax: | 817-442-8637 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1992069777 |
| NPI Enumeration Date: | 27 Jun, 2012 |
| NPI Last Update On: | 13 Dec, 2016 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brady Mallory are as mentioned below.
| License Number | Specialization | State | Status | |
| SC006356 | Podiatric Foot & Ankle Surgery | Pennsylvania | Primary | |
| SC006356 | Primary Podiatric Medicine | Pennsylvania | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Brady Mallory such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1932493574 | Other | Texas | NPI |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1940 Hwy 114 Suite 150,
Southlake, Texas |
| Zip: | 76092 |
| Phone Number: | 817-424-3668 |
| Fax Number: | 817-442-8637 |
Patients can reach Brady Mallory at
1940 East Hwy 114 Suite 150, Southlake, Texas or can
call to book an appointment on 817-424-3668.
Comments/ Reviews:
Patients can read all the reviews posted for Brady Mallory below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Brady Mallory. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.