MEDICARE: BRYAN ABRAMS D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	31993	CA
2	111N00000X	Chiropractor	DC31993	CA
3	111N00000X	Chiropractor	2301401293	MI

General Provider Information

NPI Number	:	1508283649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYAN ABRAMS D.C.

Provider Business Mailing Address
First Line	:	13111 NADINE AVE
Second Line	:
City	:	HUNTINGTON WOODS
State	:	MI
Zip	:	48070-1420
Country	:	US
Telephone Number	:	781-789-8024
Fax Number	:

Provider Business Practice Location Address
First Line	:	4050 W MAPLE RD STE 108
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48301-3118
Country	:	US
Telephone Number	:	310-286-0474
Fax Number	:	323-922-3283

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2014
Last Update Date	:	11/10/2022

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Directions to “ BRYAN ABRAMS D.C.” Practice Location

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