Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Michael J McCollum, MD

Individual provider Diagnostic Radiology Physician · NPI 1003891060

Dr. Michael J McCollum, MD is a Diagnostic Radiology in Pueblo, Colorado. Graduated from Medical College of Pennsylvania in 1997, 29 years ago. Practices with Pueblo Radiological Group PC, a 7-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
29
Trained at
Medical College of Pennsylvania
Licensed in
CO
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1008 Minnequa Ave
Pueblo, CO 81004-3733
Phone: (719) 542-7891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 42869 (CO)

Record details

NPI number1003891060
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 13, 2005
Last updated in NPPESNovember 5, 2020
Certification dateNovember 5, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolMEDICAL COLLEGE OF PENNSYLVANIA
Graduated 1997 (29 years in practice)
Group practice Pueblo Radiological Group Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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