Provider Demographics
NPI:1295895373
Name:ABROMS &BRANDNER, M.D., P.C.
Entity type:Organization
Organization Name:ABROMS &BRANDNER, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATION OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:ABROMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-870-4030
Mailing Address - Street 1:1817 OXMOOR RD
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35209-3505
Mailing Address - Country:US
Mailing Address - Phone:205-870-4030
Mailing Address - Fax:205-870-4083
Practice Address - Street 1:1817 OXMOOR RD
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209-3505
Practice Address - Country:US
Practice Address - Phone:205-870-4030
Practice Address - Fax:205-870-4083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL8379174400000X
AL9770174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C72991Medicare UPIN
ALC72023Medicare UPIN