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Deactivated NPI 1235119355 Deactivated / Inactive NPI Male Practitioner

Dr. Bruce A Mallin , MD

Orthopaedic Surgery • Phoenix, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Bruce Mallin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 17, 2006
NPI Deactivation Date February 03, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Bruce Mallin, MD was a registered Orthopaedic Surgery practicing in Phoenix, AZ. Throughout an active medical career spanning 14 years, Dr. Mallin provided care at the practice location at 4614 E SHEA BLVD until profile deactivation on 2020-02-03.

Practice Location & Contact Primary Location

Practice Address

4614 E Shea Blvd
Suite D160

Phoenix, AZ 850283070

Telephone 6022588500
Fax 6022588510
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.6 Yrs
State Avg: 26.8 Yrs
Regional Practice Density
144 Specialists

Practicing in Phoenix, AZ (501 Statewide)

Telehealth Adoption Rate
9.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License AZ 5226

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Judd Cummings , MD

Orthopaedic Surgery

NPI 1043437965

Doctor of Medicine (M.D.)

Mary Word , FNP

Nurse Practitioner - Family

NPI 1184137127

Family Nurse Practitioner

Leah Williams , PA

Physician Assistant

NPI 1366197121

Physician Assistant

Dr. Matthew Seidel , MD

Orthopaedic Surgery

NPI 1376523399

Doctor of Medicine (M.D.)

Dr. Sean Brimacombe , MD

Orthopaedic Surgery

NPI 1427105048

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 03, 2020

Record deactivated on February 03, 2020

NPI Profile Active December 14, 2011

NPI status registered as active in NPPES database

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Updated Practice Location December 14, 2011

Registered at 4614 E SHEA BLVD, SUITE D160, PHOENIX, AZ 850283070 (Tel: 6022588500)

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Updated Business Mailing Address December 14, 2011

Registered at 4614 E SHEA BLVD, SUITE D160, PHOENIX, AZ 850283070 (Tel: 6022588500)

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Provider Name / Credentials Updated December 14, 2011

Recorded as BRUCE MALLIN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2011

Orthopaedic Surgery (License #5226 in AZ)

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Initial NPI Registration & Enumeration January 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235119355
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2006
Last Update: December 14, 2011
Deactivation Date: February 03, 2020

Mailing Address

4614 E Shea Blvd, Suite D160

Phoenix, AZ 850283070

Phone: 6022588500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.