DR. BRENDAN JAMES MCCOLLUM – Psychologist, NPI 1982046215

DR. BRENDAN JAMES MCCOLLUM is a healthcare provider. based in Bradenton, Florida. specializing in Psychologist. They hold a License No. 9633 (FL). The NPI Number for DR. BRENDAN JAMES MCCOLLUM is 1982046215

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRENDAN JAMES MCCOLLUM
NPI
1982046215
Phone
(941) 753-0064
Address
4835 27TH ST W STE 125
Enumeration Date
29 July 2013
Last Update Date
6 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9417530064
Graduation Year
2014 (12 years ago)
PAC ID
2264718311
Group Practice PAC ID
0547234379
Professional Enrollment ID
I20170404002183
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for DR. BRENDAN JAMES MCCOLLUM

  • 4835 27TH ST W STE 125

    BRADENTON, FL 342071759

    Phone: (941) 753-0064

    Fax: (941) 753-2977

    Type: Mailing

  • 4801 VETERANS DR

    SAINT CLOUD, MN 563032015

    Phone: (706) 499-1814

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-04-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170404002183IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34207)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547234379View full group profile
NameSpecialtyState
-FL
Clinical PsychologistFL
Clinical PsychologistFL
Clinical PsychologistFL
Clinical PsychologistFL
Clinical PsychologistFL
Clinical PsychologistNC
Clinical PsychologistTX
Clinical PsychologistFL
Clinical Social WorkerFL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. BRENDAN JAMES MCCOLLUM?
NPI 1982046215 is assigned to DR. BRENDAN JAMES MCCOLLUM under the national enumeration system.
Is DR. BRENDAN JAMES MCCOLLUM currently active in the NPI registry?
CMS-published data lists DR. BRENDAN JAMES MCCOLLUM as an active registrant.
What does DR. BRENDAN JAMES MCCOLLUM treat or focus on?
Patients typically see DR. BRENDAN JAMES MCCOLLUM under the specialty Psychologist. Clinical services aligned with this taxonomy classification.
Where is DR. BRENDAN JAMES MCCOLLUM's primary listing?
We display Bradenton, Florida because that is what the record indicates for DR. BRENDAN JAMES MCCOLLUM.
What if Bradenton, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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