Brad E Mccollom (NPI# 1548264385, PAC ID# 1153310461) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1548264385 |
| PAC ID by PECOS | 1153310461 |
| Professional Enrollment ID | I20041202000011 |
| Full Name | Brad E Mccollom |
| Organization Legal Name | SPINE AND ORTHOPAEDIC SPECIALISTS OF CENTRAL FLORIDA LLC |
| Address |
395 S Wickham Rd Melbourne FL 32904-1135 |
| Phone Number | 3213121570 |
| Gender | M |
| Credential | DO |
| Graduation Year | 1997 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 9638446669 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 395 S Wickham Rd, Melbourne, FL 32904-1135 | 3213121570 | SPINE AND ORTHOPAEDIC SPECIALISTS OF CENTRAL FLORIDA LLC |
| Organization Legal Name | SPINE AND ORTHOPAEDIC SPECIALISTS OF CENTRAL FLORIDA LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie N. Chevillet | Orthopedic Surgery | Spine and Orthopaedic Specialists of Central Florida LLC | 395 S Wickham Rd, Melbourne, FL 32904-1135 |
| Street Address |
395 S WICKHAM RD |
| City | MELBOURNE |
| State | FL |
| Zip | 32904-1135 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie N. Chevillet | Orthopedic Surgery | Spine and Orthopaedic Specialists of Central Florida LLC | 395 S Wickham Rd, Melbourne, FL 32904-1135 |
| Krishna Vara | General Practice | 395 S Wickham Rd, West Melbourne, FL 32904-1135 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose A Vazquez | Ophthalmology | Aggarwal Medical Associates Pa | 232 S Wickham Rd, Melbourne, FL 32904-1123 |
| Karen M Rafferty | Anesthesiology | Apollo Anesthesia, Pa | 375 S Wickham Rd, Melbourne, FL 32904-1135 |
| Ana V Delgado | Anesthesiology | Apollo Anesthesia, Pa | 375 S Wickham Rd, Melbourne, FL 32904-1135 |
| Alberto Perez Dimaggio | Anesthesiology | Apollo Anesthesia, Pa | 375 S Wickham Rd, Melbourne, FL 32904-1135 |
| James Ploucha | Anesthesiology | Apollo Anesthesia, Pa | 375 S Wickham Rd, Melbourne, FL 32904-1135 |
| Robert J Kennedy | Diagnostic Radiology | Interventional and Vascular Center Pllc | 415 S Wickham Rd, Melbourne, FL 32904-1137 |
| Brian Dunfee | Interventional Radiology | Interventional and Vascular Center Pllc | 415 S Wickham Rd, Melbourne, FL 32904-1137 |
| Anthony Saracino | Urology | Urologic Specialists of Central Florida Pllc | 575 S Wickham Rd, Suite A, West Melbourne, FL 32904-1170 |
| Prodromos G Borboroglu | Urology | 575 S Wickham Rd, Suite B, West Melbourne, FL 32904-1170 | |
| Elizabeth Sheppard | Physician Assistant | Urologic Specialists of Central Florida Pllc | 575 S Wickham Rd, Suite A, West Melbourne, FL 32904-1170 |
| Find all physicians in zip 32904 | |||
| City | MELBOURNE |
| Zip Code | 32904 |
| Specialty | NEUROSURGERY |
| City + Specialty | MELBOURNE + NEUROSURGERY |
Please comment or provide details below to improve the information on Brad E Mccollom.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.