Individual provider Active NPI

Bradley Kevin Young, FNP-C

  • Family Nurse Practitioner
  • Post Falls, ID
National Provider Identifier
1336826692
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6171448 Issued in ID
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

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
11388965-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Counseling, LLC CurrentSince Jun 13, 2023 Accepting new patients

Locations

2528 Las Brisas Dr
Virginia Beach, VA 23456
Phone (757) 301-6985

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.