Provider Demographics
NPI:1730488396
Name:ARMSTRONG, BRACKEN ABRAM (MD)
Entity type:Individual
Prefix:DR
First Name:BRACKEN
Middle Name:ABRAM
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 TAMPA GENERAL CIRCLE
Mailing Address - Street 2:TGH C/O TRAUMA ADMINISTRATION / SUITE G-417
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606
Mailing Address - Country:US
Mailing Address - Phone:813-844-7968
Mailing Address - Fax:813-844-4049
Practice Address - Street 1:1 TAMPA GENERAL CIRCLE
Practice Address - Street 2:TGH C/O TRAUMA ADMINISTRATION / SUITE G-417
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606
Practice Address - Country:US
Practice Address - Phone:813-844-7968
Practice Address - Fax:813-844-4049
Is Sole Proprietor?:No
Enumeration Date:2011-03-22
Last Update Date:2024-08-12
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Provider Licenses
StateLicense IDTaxonomies
FLME164103208600000X, 2086S0127X, 2086S0102X
MO20180208692086S0127X, 208600000X
TN556712086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200057467Medicaid