Individual provider Active NPI

Bradley Youngers, PA

  • Physician Assistant
  • Naples, FL
National Provider Identifier
1295215788
Registry record updated Jun 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9111455 Issued in FL
Practice address
6101 Pine Ridge Rd
Naples, FL 34119
Phone
(239) 348-4000
NPI assigned
Aug 15, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9111455 FL Primary

Addresses

Primary practice location

6101 Pine Ridge Rd
Naples, FL 34119

Mailing address

670 6TH St NE
Naples, FL 34120-2033
Phone (515) 779-1717

Other practice location 1

200 Nat Washington Way
Ephrata, WA 98823-1997
Phone (509) 754-4631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181126003175 FL Practitioner - Physician Assistant 0547514895 Reassigns benefits to 1 organization
I20251218001414 WA Practitioner - Physician Assistant 0547514895 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grant County Public Hospital District No. 3Group PAC ID 6709775166, 68 clinicians

Practice addresses (Care Compare)

200 Nat Washington Way
Columbia Basin Hospital
Ephrata, WA 98823-1997
Phone (509) 754-4631

Hospital & facility affiliations

  • Othello Community Hospital Hospital, Othello, WA, CCN 501318
  • Columbia Basin Hospital Hospital, Ephrata, WA, CCN 501317
  • Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adams County Public Hospital District 3 CurrentSince Dec 9, 2025 Accepting new patients
Grant County Public Hospital District 3 CurrentSince Aug 1, 2025 Accepting new patients

Locations

200 Nat Washington Way
Ephrata, WA 98823
Phone (509) 754-3330

315 N 14th Ave
Othello, WA 99344
Phone (509) 331-2667

Organizations & group practices 3

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": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749859200000",
    "number": "1295215788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 6TH ST NE",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341202033",
            "telephone_number": "515-779-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 PINE RIDGE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34119",
            "telephone_number": "239-348-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Nat Washington Way",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "WA",
            "postal_code": "988231997",
            "country_code": "US",
            "telephone_number": "509-754-4631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNGERS",
        "first_name": "BRADLEY",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-15",
        "last_updated": "2025-06-14",
        "certification_date": "2025-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.