Provider Demographics
NPI:1316901895
Name:ABRAMS, BRADLEY J (DO)
Entity type:Individual
Prefix:DR
First Name:BRADLEY
Middle Name:J
Last Name:ABRAMS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3328 BEE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-7213
Mailing Address - Country:US
Mailing Address - Phone:941-926-2300
Mailing Address - Fax:941-926-8424
Practice Address - Street 1:3328 BEE RIDGE RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-7213
Practice Address - Country:US
Practice Address - Phone:941-926-2300
Practice Address - Fax:941-926-8424
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS00007380207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE53387Medicare UPIN
FL57551ZMedicare ID - Type Unspecified