Individual provider Active NPI

Bradley Lane Young, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Columbus, GA
National Provider Identifier
1114459294
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
92346 Issued in GA
Practice address
6262 Veterans Pkwy
Columbus, GA 31909-3540
Phone
(706) 324-6661
NPI assigned
Mar 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 227233 NC
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 92346 GA Primary

Addresses

Primary practice location

6262 Veterans Pkwy
Columbus, GA 31909-3540

Mailing address

PO Box 370
Fortson, GA 31808-0370
Phone (706) 494-3071

Other practice location 1

1025 Morehead Medical Dr Ste 300
Charlotte, NC 28204-2966
Phone (704) 446-2772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230418000946 GA Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 2961789094 Reassigns benefits to 1 organization
I20230505002214 AL Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 2961789094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Orthopedic Surgery
Education
University of Alabama School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hughston Clinic PCGroup PAC ID 1355254780, 111 clinicians

Practice addresses (Care Compare)

161 E University Dr
Auburn, AL 36832-5889
Phone (334) 826-2090

6262 Veterans Pkwy
Columbus, GA 31909-3540
Phone (706) 324-6661

Hospital & facility affiliations

  • Jack Hughston Memorial Hospital Hospital, Phenix City, AL, CCN 010168
  • Piedmont Columbus Regional Northside Hospital, Columbus, GA, CCN 110200
  • Eamc - Lanier Hospital, Valley, AL, CCN 010780
  • Upson Regional Medical Center Hospital, Thomaston, GA, CCN 110002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
227233NCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hughston Clinic, PC Orthopaedic Surgery CurrentSince May 1, 2023 Accepting new patients
Hughston Clinic, P.C. Orthopaedic Surgery CurrentSince May 1, 2023 Accepting new patients

Locations

161 E University Dr
Auburn, AL 36832
Phone (334) 699-5747

4294 Lomac St
Montgomery, AL 36106
Phone (205) 933-8588

1725 Park Pl
Montgomery, AL 36106
Phone (334) 293-8484

2257 Taylor Rd
Montgomery, AL 36117
Phone (334) 245-6605

4650 Woodmere Blvd
Montgomery, AL 36106

470 Taylor Rd
Montgomery, AL 36117
Phone (334) 226-4048

4401 Riverchase Dr
Phenix City, AL 36867
Phone (334) 732-3000

6262 Veterans Pkwy
Columbus, GA 31909
Phone (706) 494-3071

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

6262 Veterans Pkwy
Unit B
Columbus, GA 31909
Phone (706) 494-3434

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

2548 Weems Rd
Columbus, GA 31909
Phone (404) 265-4000

Interoperability endpoints

  • Direct secure messaging: bradley.young.1@321.direct.athenahealth.com
  • Direct secure messaging: byoung19924@yourcarecommunity.org

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1114459294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080370",
            "telephone_number": "706-494-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6262 VETERANS PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319093540",
            "telephone_number": "706-324-6661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Morehead Medical Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282042966",
            "country_code": "US",
            "telephone_number": "704-446-2772",
            "fax_number": "704-355-2467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "BRADLEY",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-29",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "227233",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "GA",
            "license": "92346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.