Active NPI
Brett Young
- Hearing Instrument Specialist
- Clarksville, IN
National Provider Identifier
1326555962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 17001464A
- Practice address
- 207 E Lewis and Clark Pkwy Ste B
Clarksville, IN 47129-1711 - Phone
- (812) 284-1111
- NPI assigned
- Jan 4, 2018
- Last updated
- Jan 4, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 17001464A | IN | Primary |
Addresses
Primary practice location
207 E Lewis and Clark Pkwy Ste B
Clarksville, IN 47129-1711
Mailing address
207 E Lewis and Clark Pkwy Ste B
Clarksville, IN 47129-1711
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17001464A | IN | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515024000000",
"number": "1326555962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 E LEWIS AND CLARK PKWY STE B",
"city": "CLARKSVILLE",
"state": "IN",
"postal_code": "471291711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 E LEWIS AND CLARK PKWY STE B",
"city": "CLARKSVILLE",
"state": "IN",
"postal_code": "471291711",
"telephone_number": "812-284-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "BRETT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-04",
"last_updated": "2018-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IN",
"license": "17001464A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.