Active NPI
Brian Jimar Young, MD
- Pediatrics Physician
- Kenner, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD.203209
- Practice address
- 200 W. Esplanade Avenue
Kenner, LA 70065-2489 - Phone
- (504) 464-8588
- Fax
- (504) 988-6808
- NPI assigned
- Nov 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | PGY.1.TUL-PEDS | LA | |
| Pediatrics Physician | 208000000X | MD.203209 | LA | Primary |
Addresses
Primary practice location
200 W. Esplanade Avenue
Kenner, LA 70065-2489
Mailing address
1514 Jefferson Highway
New Orleans, LA 70121-2429
Phone (504) 842-4000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003085 | Medicaid | LA | |
| 05378041 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PGY.1.TUL-PEDS | LA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Correct Care, Inc. | Current | Accepting new patients | |
| Penn Pediatrics | Past | Accepting new patients |
Locations
229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225
301 Memorial Dr
Donaldsonvlle, LA 70346
Phone (225) 473-7931
200 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-2940
180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284
1514 Jefferson Hwy
New Orleans, LA 70121
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
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- NPI 1215987441
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- General Practice Physician
- Slidell, LA
- NPI 1245597822
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Primary Care Clinic/Center
- St Thomas, VI
- NPI 1598008484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299110400000",
"number": "1013198472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 JEFFERSON HIGHWAY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701212429",
"telephone_number": "504-842-4000",
"fax_number": "504-988-6808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W. ESPLANADE AVENUE",
"city": "KENNER",
"state": "LA",
"postal_code": "700652489",
"telephone_number": "504-464-8588",
"fax_number": "504-988-6808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "BRIAN",
"middle_name": "JIMAR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-14",
"last_updated": "2011-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "PGY.1.TUL-PEDS",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "MD.203209",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003085",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05378041",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kenner, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.