Active NPI
Bradley Kevin Young, FNP-C
- Family Nurse Practitioner
- Post Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 6171448
- Practice address
- 784 S Clearwater Loop
Post Falls, ID 83854-9599 - Phone
- (208) 495-6400
- Fax
- (800) 396-5232
- NPI assigned
- Jun 29, 2023
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 6171448 | ID | Primary |
Addresses
Primary practice location
784 S Clearwater Loop
Post Falls, ID 83854-9599
Mailing address
283 N 400 W
Blackfoot, ID 83221-5471
Phone (208) 380-0763
Other practice location 1
2528 Las Brisas Dr
Virginia Beach, VA 23456-4264
Phone (757) 301-6985
Other practice location 2
2041 Fisher Arch Suite 140
Virginia Beach, VA 23456
Phone (757) 301-6985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2026 through Jan 1, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Cincinnati College of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2528 Las Brisas Dr
Virginia Beach, VA 23456-4264
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11388965-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beach Counseling, LLC | Current | Accepting new patients |
Locations
2528 Las Brisas Dr
Virginia Beach, VA 23456
Phone (757) 301-6985
Interoperability endpoints
- bradley.young.1@29909.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Psychiatric/Mental Health Clinical Nurse Specialist
- Virginia Beach, VA
- NPI 1689162547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1336826692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "283 N 400 W",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832215471",
"telephone_number": "208-380-0763",
"fax_number": "800-396-5232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "784 S CLEARWATER LOOP",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838549599",
"telephone_number": "208-495-6400",
"fax_number": "800-396-5232"
}
],
"practiceLocations": [
{
"address_1": "2528 Las Brisas Dr",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234564264",
"country_code": "US",
"telephone_number": "757-301-6985",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2041 Fisher Arch Suite 140",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "23456",
"country_code": "US",
"telephone_number": "757-301-6985",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "BRADLEY",
"middle_name": "KEVIN",
"name_prefix": "Mr.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-29",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "6171448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Post Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.