BRADLEY P YOUNG (NPI# 1417446352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417446352 |
| Entity Type | Individual |
| Full Name | BRADLEY P YOUNG |
| Credential | APRN |
| Practice Address |
11155 Tucker Rd Pleasanton KS 66075-8401 |
| Mailing Address |
3011 N Michigan St Pittsburg KS 66762-2546 |
| Practice Telephone | 9133528379 |
| Practice Fax Number | 9133528998 |
| Mailing Telephone | 6202319873 |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2020-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
136260 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
78117 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 106 Nw Veterans Blvd, Miami, OK 743541818 | 9182383074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831727403 | Bradley Scott Young | Registered Nurse | 41 Lakeview Park, Rochester, NY 14613-1741 | 2020-03-30 |
| 1114335858 | Bradley Young | Pharmacist | 3531 Highway 20 Se Ste A, Conyers, GA 30013-2804 | 2014-07-25 |
| 1770842106 | Bradley Young | Counselor | 3871 W 5075 S, Roy, UT 84067-7703 | 2012-05-04 |
| 1083930697 | Bradley David Young | Counselor | 50 Kendall Ave, Rutland, VT 05701-3117 | 2010-04-08 |
| 1912238460 | Bradley H Young | Nurse Practitioner | 303 Harris Industrial Blvd Ste 5, Vidalia, GA 30474-8854 | 2010-01-22 |
| 1366538035 | Bradley Hamilton Young | Chiropractor | 6 11th Avenue, Suite H-3, Shalimar, FL 32579 | 2006-10-04 |
| 1598701831 | Bradley Hamblin Young | Dentist | 602 E Main St, Suite E, Lexington, SC 29072-3729 | 2006-06-22 |
| 1750325338 | Bradley Rockwell Young | Specialist | 6231 66th St, Pinellas Park, FL 33781-5025 | 2006-06-15 |
| 1114459294 | Bradley Lane Young | Orthopaedic Surgery | 1025 Morehead Medical Dr Ste 300, Charlotte, NC 28204-2966 | 2017-03-29 |
| 1932496775 | Bradley Ronald Young | Counselor | 18650 Sw Boones Ferry Rd, Suite 3, Tualatin, OR 97062-8491 | 2011-06-30 |
| Street Address |
11155 TUCKER RD |
| City | PLEASANTON |
| State | KS |
| Zip Code | 66075-8401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942361696 | Mercy Kansas Communities Inc | Clinic/Center | 11155 Tucker Rd, Pleasanton, KS 66075-8401 | 2006-12-13 |
| 1548895378 | Community Health Center of Southeast Kansas, Inc. | Pharmacy | 11155 Tucker Rd, Pleasanton, KS 66075-8401 | 2020-03-12 |
| 1881245108 | Community Health Center of Southeast Kansas, Inc. | Pharmacy | 11155 Tucker Rd, Pleasanton, KS 66075-8401 | 2019-09-27 |
| 1063997377 | Community Health Center of Southeast Kansas, Inc. | Clinic/Center | 11155 Tucker Rd, Pleasanton, KS 66075-8401 | 2018-10-02 |
| 1275860876 | Kristyn D Milburn | Nurse Practitioner | 11155 Tucker Rd, Pleasanton, KS 66075-8401 | 2009-11-03 |
| 1972665594 | Rhonda Kellstadt | Nurse Practitioner | 11155 Tucker Rd, Pleasanton, KS 66075-8401 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982867230 | Mercy Hospital of Kansas Inc | Non-Pharmacy Dispensing Site | 9th & Main, Pleasanton, KS 66075 | 2008-07-08 |
| 1740368489 | Douglas Maschino | Pharmacist | 20620 E 600 Rd, Pleasanton, KS 66075 | 2006-11-01 |
| 1467558676 | Chase R Carpenter | Chiropractor | 714 Main, Pleasanton, KS 66075 | 2006-09-15 |
| 1407899115 | Michael C Knierim | Dentist | 805 Main, Pleasanton, KS 66075 | 2006-06-13 |
| 1811027857 | The Residencies At Pleasanton | Assisted Living Facility | 706 West 15th Street, #418, Pleasanton, KS 66075-0418 | 2007-03-07 |
| 1992874630 | Maschino Drug Company Inc | Pharmacy | 1012 Main, Pleasanton, KS 66075-0500 | 2006-11-07 |
| 1912130279 | Pleasanton Usd 344 | Local Education Agency (LEA) | 309 W 13th St, Pleasanton, KS 66075-4060 | 2009-09-02 |
| 1063568897 | County of Linn | Public Health or Welfare | 902 Main St, P.0.box 456, Pleasanton, KS 66075-4078 | 2007-01-26 |
| 1841238243 | Cynthia (cindy) Dean Larson | Nurse Practitioner | 900 Main St, Pleasanton, KS 66075-4078 | 2006-06-04 |
| 1205225802 | Nicole Shaddix-olsen | Counselor | 806 W 15th St, Pleasanton, KS 66075-4089 | 2015-01-20 |
| Find all providers in zip 66075 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235793506 | Jostlin Denisha Jenkins-key | Nurse Practitioner | 5606 Owens Dr Apt 106, Pleasanton, CA 94588-4677 | 2019-04-23 |
| 1851800056 | Delisa Simon | Nurse Practitioner | 4439 Stoneridge Dr Ste 110, Pleasanton, CA 94588 | 2017-09-20 |
| 1871027276 | Susan Xiaoping Han | Nurse Practitioner | 215 Abbie St, Pleasanton, CA 94566-7343 | 2017-04-12 |
| 1033481957 | Desiree Dawn Quinn | Nurse Practitioner | 5000 Hopyard Rd #100, Team Health, Pleasanton, CA 94588 | 2012-02-08 |
| 1114235934 | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | Nurse Practitioner | 1320 W Oaklawn Rd, Suite H, Pleasanton, TX 78064-4315 | 2010-09-14 |
| 1972828515 | Stacia Erin Souter | Nurse Practitioner | 7901 Stoneridge Dr Ste 230, Pleasanton, CA 94588-3371 | 2010-04-06 |
| 1760537617 | Shannon Renee Clark | Nurse Practitioner | 3128 Santa Rita Rd, Suite C, Pleasanton, CA 94566-8300 | 2007-01-23 |
| 1710512124 | Mamata Patel | Nurse Practitioner | 5565 W Las Positas Blvd Ste 260, Pleasanton, CA 94588-5807 | 2020-03-05 |
| 1386276632 | Paul Turner | Nurse Practitioner | 310 W Oaklawn Rd, Pleasanton, TX 78064-4033 | 2020-02-05 |
| 1114573599 | Emily Kate Schorr | Nurse Practitioner | 220 W Goodwin St Ste A, Pleasanton, TX 78064-4119 | 2019-08-12 |
| Find all providers in PLEASANTON | ||||
| City | PLEASANTON |
| Zip Code | 66075 |
Please comment or provide details below to improve the information on BRADLEY P YOUNG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.