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General NPI Number Information
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NPI Number | 1689962409
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Entity Type | Individual
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Provider Name | BRETT STUART MALONE M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/13/2011
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 10 HOSPITAL DR
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City | SAINT PETERS
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State | MO
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Zip | 63376-1659
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Country | US
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Telephone | 636-916-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 4149 CLEVELAND AVE APT B
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City | SAINT LOUIS
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State | MO
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Zip | 63110-3922
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Country | US
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Telephone | 678-702-9164
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD.47234
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2016014756
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License Number State | MO
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