| Brandi Michele Malone, ACAGNP | |
|
800 E Dawson St, Tyler, TX 75701-2036 | |
| (903) 593-8441 | |
| Not Available |
| Full Name | Brandi Michele Malone |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 800 E Dawson St, Tyler, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891276481 | NPI | - | NPPES |
| 1G0062 | Other | TX | MEDICARE |
| 407522802 | Medicaid | TX | |
| 407522803 | Medicaid | TX | |
| 1G8783 | Other | TX | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | AP138255 (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | AP138255 (Texas) | Primary |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | Mother Frances Hospital Jacksonville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092 |
| Entity Name | Sound Inpatient Physicians Of Texas I, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831424563 PECOS PAC ID: 8729133640 Enrollment ID: O20090828000300 |
| Entity Name | Hospitalist Medicine Physicians Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20100317001021 |
| Entity Name | Hospital Medicine Associates Of Tx Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538520218 PECOS PAC ID: 4587962949 Enrollment ID: O20160419000296 |
| Entity Name | North Texas Physician Services, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992586150 PECOS PAC ID: 6305295429 Enrollment ID: O20231213004113 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandi Michele Malone, ACAGNP Po Box 1120, Frankston, TX 75763-1120 Ph: (903) 570-0596 | Brandi Michele Malone, ACAGNP 800 E Dawson St, Tyler, TX 75701-2036 Ph: (903) 593-8441 |