Provider Demographics
NPI:1184940405
Name:ABRAMS, WINFRED BERNARD JR (MD)
Entity type:Individual
Prefix:DR
First Name:WINFRED
Middle Name:BERNARD
Last Name:ABRAMS
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:6077 PRIMACY PKWY STE 140
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-5754
Mailing Address - Country:US
Mailing Address - Phone:901-259-1600
Mailing Address - Fax:901-259-1698
Practice Address - Street 1:6286 BRIARCREST AVE STE 200
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-4023
Practice Address - Country:US
Practice Address - Phone:901-259-1600
Practice Address - Fax:901-259-1698
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-12
Last Update Date:2024-02-05
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Provider Licenses
StateLicense IDTaxonomies
MS282292081P2900X, 208VP0000X, 208VP0000X
TN62209208VP0000X, 2081P2900X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS1H1552OtherMS MEDICARE
TNQ061827Medicaid
TN6248298OtherBCBS TN
TNQ10858AOtherTN MEDICARE
MS02102790Medicaid