Organization
BRAD E MCCOLLOM DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD E MCCOLLOM DO (PRESIDENT)
(772) 581-8075
Entity
Organization
Contact information
Practice address
7764 BAY STREET, SEBASTIAN, FL 32958
(772) 581-8075
(772) 581-8097
Mailing address
787 37TH ST, SUITE E220, VERO BEACH, FL 32960-7305
(772) 581-8075
(772) 581-8097
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
OS9270
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K6779
MEDICARE GROUP
FL
Enumeration date
12/20/2007
Last updated
03/07/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up