Benjamin McCollum MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BENJAMIN MCCOLLUM MD PLLC

Practice address

3100 Avenue E
Hondo, TX 78861-3534

Phone

(830) 426-7700

NPI assigned

Apr 2, 2024

Last updated

Apr 2, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alicia Pollok

Title

Contacting Supervisor

Phone

(830) 400-0270

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benjamin Joseph McCollum, M.D.

  • Family Medicine Physician
  • Hondo, TX
  • NPI 1811252778

  Single Specialty

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1437901642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 335",
            "city": "HONDO",
            "state": "TX",
            "postal_code": "788610335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 AVENUE E",
            "city": "HONDO",
            "state": "TX",
            "postal_code": "788613534",
            "telephone_number": "830-426-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN MCCOLLUM MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "POLLOK",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CONTACTING SUPERVISOR",
        "authorized_official_telephone_number": "830-400-0270"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Alvarez
• Amity Fellowserve of Hondo, Inc. (Hondo Healthcare & Rehabilitation Center)
• Lindsay Valentine Anderegg, CRNA
• Chastity Mercedes Barrios
• Erin Ashley Beck, COTA
• Guillermo Betancourt Martinez, DDS
• Jillian Blum, OTR
• Brandon Blaker O D P C (Hill Country Vision Center)
• Brenda Burell
• Billy Pat Butler, RPH

• Family Medicine Physician in Hondo, TX
• Providers in Hondo, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.