Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brady Mallory, DPM

Individual provider Primary Podiatric Medicine Podiatrist · NPI 1992069777

Brady Mallory, DPM is a Primary Podiatric Medicine Podiatrist in Southlake, Texas. Licensed in Pennsylvania. Registered with an NPI since 2012.

Licensed in
PA
In the registry since
2012
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

1940 E Hwy 114 Ste 150
Southlake, TX 76092
Phone: (817) 424-3668
Fax: (817) 442-8637
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence SC006356 (PA)
Primary Podiatric Medicine Podiatrist Taxonomy 213EP1101X · Licence SC006356 (PA)

Record details

NPI number1992069777
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 27, 2012
Last updated in NPPESDecember 13, 2016