Brad E. McCollom, DO
Individual provider Active NPI Neurological Surgery Physician · Sebastian, FL
NPI 1548264385 · NPPES record last updated Feb 8, 2017
Key facts
- NPI
- 1548264385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- License
- OS9270 (FL)
- Practice address
- 8005 Bay St Ste 5
Sebastian, FL 32958-3244 - Phone
- (772) 581-8075
- Fax
- (772) 581-8031
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2023 through Jul 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brad E McCollom DO PA | Neurological Surgery | Past |
Accepting new patients |
| Sebastian Hma Physician Management LLC | Past | Accepting new patients | |
| Stewart and Stewart a Medical Corporation | Past | Accepting new patients | |
| Lawnwood Healthcare Specialists LLC | Neurological Surgery | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | OS9270 | FL | Yes |
Addresses
Primary practice location
8005 Bay St Ste 5
Sebastian, FL 32958-3244
Mailing address
8005 Bay St Ste 5
Sebastian, FL 32958-3244
Phone (772) 581-8075
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48160 | Other | FL | BCBS FL |
Other providers in Sebastian, FL
- Karen R Manley
- Marchelle K Holfeldt MD PA
- James Joseph Marino
- Mildred Bernice McArdle
- Trevor Aiden McCarty
- Tina Marie McCurry
- Eugene T. McElwee Jr.
- Betty Jane McGuigan
- Robert Leon McGuigan
- Medfast Urgent Care Centers, LLC
All providers in Sebastian, FL · Neurological Surgery Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.