Individual provider Active NPI

Gladys Young, M.D.

  • Family Medicine Physician
  • Chester, MT
National Provider Identifier
1326137274
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4611 Issued in MT
Practice address
418 W Monroe Ave
Chester, MT 59522-0506
Phone
(406) 759-5194
NPI assigned
Oct 11, 2006
Last updated
Apr 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4611 MT Primary
General Practice Physician 208D00000X 4611 MT

Addresses

Primary practice location

418 W Monroe Ave
Chester, MT 59522-0506

Mailing address

PO Box 506
Chester, MT 59522-0506
Phone (406) 759-5194

Other practice location 1

670 Park Ave
Shelby, MT 59474-1663
Phone (406) 966-7040

Other practice location 2

640 Park Ave
Shelby, MT 59474-1663
Phone (406) 434-3200

Other identifiers 2

IdentifierTypeStateIssuer
0016014MedicaidMT
0720273MedicaidMT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Liberty County Hospital and Nursing Home, Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100618000364 MT Practitioner - Family Practice 9133015605 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4611MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Logan Health - Shelby Current Accepting new patients
Sweet Memorial Nursing Home CurrentSince Jul 19, 2016 Accepting new patients
Logan Health - Shelby CurrentSince Apr 1, 2025 Accepting new patients
U S Health Dept of Health & Human Services Past Accepting new patients
Peterson Medical Clinics, LLC PastSince Feb 21, 2024 Accepting new patients
U S Health Dept of Health & Human Services Past Accepting new patients

Locations

640 Park Ave
Shelby, MT 59474
Phone (406) 434-3200

670 Park Ave
Shelby, MT 59474
Phone (406) 434-3110

Interoperability endpoints

  • Direct secure messaging: gyoung@lchnh.securechart.com
  • Direct secure messaging: krmcmedicalrecords@krhdirect.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1326137274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 506",
            "city": "CHESTER",
            "state": "MT",
            "postal_code": "595220506",
            "telephone_number": "406-759-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 W MONROE AVE",
            "city": "CHESTER",
            "state": "MT",
            "postal_code": "595220506",
            "telephone_number": "406-759-5194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "670 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "MT",
            "postal_code": "594741663",
            "country_code": "US",
            "telephone_number": "406-966-7040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "MT",
            "postal_code": "594741663",
            "country_code": "US",
            "telephone_number": "406-434-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "GLADYS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "4611",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MT",
            "license": "4611",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016014",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0720273",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Liberty County Hospital and Nursing Home, Inc",
            "address_1": "418 W Monroe Ave",
            "city": "Chester",
            "state": "MT",
            "country_code": "US",
            "postal_code": "595220506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chester, MT

Sources for this page

Verify at the official NPI Registry.