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KEITH BRUCE MCCOLLISTER M.D. NPI 1427292796


NPI Information

NPI: 1427292796
Provider Name: KEITH BRUCE MCCOLLISTER, M.D.
Classification: Radiology - 2085N0700X
Entity Type: Individual

Specialization: Neuroradiology

PECOS Registration: Yes

Address:
166 4TH ST E
SAINT PAUL, MN
ZIP 55101
Phone: (651) 292-2000
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Keith Bruce Mccollister, M.D. is a neuroradiology radiology in Saint Paul, MN with 15 years of experience. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. Keith Bruce Mccollister, M.D. NPI is 1427292796. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduation Year:2009

The provider's business location address is:

166 4TH ST E
SAINT PAUL, MN
ZIP 55101-421
Phone: (651) 292-2000

The NPI 1427292796 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ct scan head or brain (HCPCS:70450)
  • Ct scan of face (HCPCS:70486)
  • X-ray of chest, 2 views (HCPCS:71046)

The enumeration date for this NPI number is 4/29/2009 and was last updated on 11/12/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085N0700XRadiologyNeuroradiology10770SOUTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11427292796MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.