Brandon Mark Young, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

9857 Issued in NC

Practice address

2121 E Williams St
Suite 108
Apex, NC 27539-7764

Phone

(919) 372-8412

Fax

(919) 267-6556

NPI assigned

Jul 11, 2006

Last updated

Apr 12, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Carolina Institute of Sports Biomechanics, LLC

  dba B Young Physical Therapy

  • Physical Therapy Clinic/Center
  • Apex, NC
  • NPI 1780090324
  Medicare reassignment NPD
• Cary Orthopaedic and Sports Medicine Specialists, P.a.

  • Specialist
  • Cary, NC
  • NPI 1447289731
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1164457057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E WILLIAMS ST",
            "address_2": "SUITE 108",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275397764",
            "telephone_number": "919-946-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E WILLIAMS ST",
            "address_2": "SUITE 108",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275397764",
            "telephone_number": "919-372-8412",
            "fax_number": "919-267-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "BRANDON",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "9857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "079K8",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Kaye Yates, LCMHC-A
• Ashley Carroll Yelmini, MAT, LAT, ATC
• Yelverton's Enrichment Services, Inc.
• Alison York
• Kristen York, SLP
• Syeda Rabia Younus
• Abby Katherine Yuan
• William Robert Theodore Zabel, PT
• Arthur David Zacco, MD
• Grace E Zeck, RD, LDN

• Specialist in Apex, NC
• Providers in Apex, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.