Provider Demographics
NPI:1164586152
Name:ABRAMS, BERNARD MARK (MD)
Entity Type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:MARK
Last Name:ABRAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:270 EAST LOCH LLOYD PARKWAY
Mailing Address - Street 2:
Mailing Address - City:VILLAGE OF LOCH LLOYD
Mailing Address - State:MO
Mailing Address - Zip Code:64012-4179
Mailing Address - Country:US
Mailing Address - Phone:816-322-4834
Mailing Address - Fax:816-322-2005
Practice Address - Street 1:5520 COLLEGE BOULEVARD
Practice Address - Street 2:SUITE 320
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1690
Practice Address - Country:US
Practice Address - Phone:816-322-4834
Practice Address - Fax:816-322-2005
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS04254862084N0400X
MO29262084N0400X
NY841412084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C50628Medicare UPIN