DR BRADLEY H YOUNG D C P A (NPI# 1972761757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972761757 |
| Entity Type | Organization |
| Organization Name | DR BRADLEY H YOUNG D C P A |
| Other Organization Name | DR. BRAD YOUNG, CHIROPRACTOR |
| Practice Address |
6 11th Avenue Suite H-3 Shalimar FL 32579 |
| Practice Telephone | 8506132044 |
| Practice Fax Number | 8506136593 |
| Mailing Telephone | 8506132044 |
| Mailing Fax Number | 8506136593 |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2014-06-23 |
| Authorized Official Name | DR. BRADLEY H YOUNG (PRESIDENT) |
| Authorized Official Telephone | 8506132044 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH8376 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 381515300 | 05 | |
| INDIVIDUAL NPI | 1366538035 | 01 |
| Other Name | Type Code |
|---|---|
| Dr. Brad Young, Chiropractor | Other Name - Individual/Organization |
| Street Address |
6 11TH AVENUE SUITE H-3 |
| City | SHALIMAR |
| State | FL |
| Zip Code | 32579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366538035 | Bradley Hamilton Young | Chiropractor | 6 11th Avenue, Suite H-3, Shalimar, FL 32579 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407382278 | Rehabcare Group East, LLC | Clinic/Center | 1200 Hawthorne Hse Dr, Shalimar, FL 32579 | 2017-05-11 |
| 1952685570 | Gary Anthony Moeller | Dentist | 1 Eleventh Ave, Suite D-3, Shalimar, FL 32579 | 2011-09-30 |
| 1932111564 | Shalimar Family Dentistry | Dentist | 1 Eleventh Avenue, D-3, Shalimar, FL 32579 | 2006-08-12 |
| 1528155413 | Howard T Goodpaster | Dentist | 1 Eleventh Avenue, Suite D3, Shclimar, FL 32579 | 2006-10-10 |
| 1912094830 | Lisa E Fletcher | Dentist | 1 Eleventh Avenue, Suite D3, Shclimar, FL 32579 | 2006-10-10 |
| 1255583795 | Ann Mcmanis | Pharmacist | 15 Healthcare Ln, Shalimar, FL 32579-0000 | 2008-10-15 |
| 1699950857 | Karen Michelle Reid | Counselor | 21 Longwood Dr, Shalimar, FL 32579-1013 | 2008-01-07 |
| 1285876540 | Beyond Expectations | Counselor | 21 Longwood Dr, Shalimar, FL 32579-1013 | 2009-04-01 |
| 1558414649 | Self Expressions Nursing Supplies, Inc | Durable Medical Equipment & Medical Supplies | 1 Sherwood Dr, Shalimar, FL 32579-1023 | 2007-01-19 |
| 1235761644 | Krista L Evans | Physical Therapist | 104 Hands Cove Ln, Shalimar, FL 32579-1051 | 2020-02-04 |
| Find all providers in zip 32579 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366538035 | Bradley Hamilton Young | Chiropractor | 6 11th Avenue, Suite H-3, Shalimar, FL 32579 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659366 | Mcclure Family and Sports | Chiropractor | 5420 Land O Lakes Blvd Ste 105, Land O Lakes, FL 34639-3401 | 2020-11-06 |
| 1922609379 | Parker Elizabeth Lee | Chiropractor | 196 37th Ave N, Saint Petersburg, FL 33704-1414 | 2020-11-03 |
| 1356942940 | Michelle George | Chiropractor | 840 N Cocoa Blvd Ste A, Cocoa, FL 32922-7590 | 2020-11-02 |
| 1124629647 | Travis Edward Kerner | Chiropractor | 18505 Nw 75th Pl Ste 117, Hialeah, FL 33015-2961 | 2020-11-02 |
| 1720688641 | Desiree Bethel | Chiropractor | 551 Ne 174th St, North Miami Beach, FL 33162-1945 | 2020-10-29 |
| 1255931010 | Spinewell Inc | Chiropractor | 650 Central Ave Ste 3, Sarasota, FL 34236-4090 | 2020-10-29 |
| 1982203543 | William Jesse Naftel | Chiropractor | 981 Highway 98 E Ste 9, Destin, FL 32541-2588 | 2020-10-23 |
| 1679172548 | Jacksonville Chiropractic Rehab and Wellness Center | Chiropractor | 7908 Blanding Boulevard, Suite #4, Jacksonville, FL 32244-7564 | 2020-10-22 |
| 1588263560 | Chiropractic Spine and Injury Pa | Chiropractor | 158 Tuskawilla Rd Ste 1308, Winter Springs, FL 32708-2805 | 2020-10-21 |
| 1588263867 | Orchid Island Chiropractic, LLC | Chiropractor | 9613 N Us Highway 1, Sebastian, FL 32958-6363 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR BRADLEY H YOUNG D C P A.
| 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.