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COLIN BERGEN MCCULLOCH MD
NPI 1265938153
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since April 01, 2018PECOS Enrolled
4301 WEST MARKHAM, SLOT 518, LITTLE ROCK, AR 72205(501) 526-7569 Get Directions Write a Review

NPPES record last updated: April 1, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Colin Bergen Mcculloch Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLIN BERGEN MCCULLOCH MD (NPI 1265938153) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265938153
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCOLIN BERGEN MCCULLOCHCredential: MD
Location Address4301 WEST MARKHAM, SLOT 518Little Rock, AR 72205
Mailing Address911 S County Line RdHinsdale, IL 60521-4729 · (630) 270-6531 · Fax (630) 270-6531
Phone(501) 526-7569
Sole ProprietorYes
Enumeration DateApril 1, 2018
✔ NPI 1265938153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4301 WEST MARKHAM, SLOT 518, Little Rock, AR 72205
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colin Bergen Mcculloch Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TYLER CHAUNCY MD
Student in an Organized Health Care Education/Training Program
4301 WEST MARKHAM, SLOT 518
LITTLE ROCK, AR 72205
Pulaski County (501) 526-7569

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colin Mcculloch's NPI number?

The NPI number for Colin Mcculloch is 1265938153. It was assigned to this individual provider in the NPPES registry on April 1, 2018.

Where is Colin Mcculloch located?

Colin Mcculloch practices at 4301 West Markham, Slot 518, Little Rock, AR 72205. The listed phone number is (501) 526-7569.

What is Colin Mcculloch's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Colin Mcculloch enrolled in Medicare?

Yes. Colin Mcculloch is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Colin Mcculloch was last updated on April 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.