Brad E Mccollom Do Pa

LBN: Brad E Mccollom Do Pa
Brad E Mccollom Do Pa is an health care organization with primary practice located at 7764 Bay Street , Sebastian FL 32958. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty. Brad E Mccollom Do Pa can be contacted via phone (772) 581-8075, or through Mccollom, Brad E via phone (772) 581-8075.

Contact Information

Primary practice address
7764 Bay Street Sebastian FL 32958
Phone: (772) 581-8075
Fax: (772) 581-8097
Website:
Map and Directions
Authorized official contact:
Name: Mccollom, Brad E Doctor of Osteopathy (DO)
Phone: (772) 581-8075

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X OS9270 Florida

Profile Details

NPI number 1770767253
LBN Legal business name Brad E Mccollom Do Pa
DBA Doing business as
Authorized official Mccollom, Brad E Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2007
Last updated Mar 7th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770767253 NPPES
Florida Other K6779 MEDICARE GROUP

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