Bradley Hamilton Young, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8376 Issued in FL

Practice address

6 11TH Avenue
Suite H-3
Shalimar, FL 32579

Phone

(850) 613-2044

Fax

(850) 613-6593

NPI assigned

Oct 4, 2006

Last updated

Jun 23, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dr Bradley H Young D C P a

  • Chiropractor
  • Shalimar, FL
  • NPI 1972761757
  Medicare reassignment NPD Authorized official
• Carelink Primary Care

  • Primary Care Clinic/Center
  • Fort Walton Beach, FL
  • NPI 1982495024
  NPD (past)
• Coastal Wound Care

  dba CareLink Solutions

  • Family Nurse Practitioner
  • Fort Walton Beach, FL
  • NPI 1598491235
  NPD (past)
• Spine Institute on the Emerald Coast

  dba Coastal Neurosurgery & Spine

  • Orthopaedic Surgery of the Spine Physician
  • Destin, FL
  • NPI 1336400704
  NPD (past)
• Spine Institute on the Emerald Coast

  dba The Spine and Pain Institute

  • Interventional Pain Medicine Physician
  • Jacksonville, FL
  • NPI 1780350298
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1366538035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 11TH AVE",
            "address_2": "SUITE H-3",
            "city": "SHALIMAR",
            "state": "FL",
            "postal_code": "325791374",
            "telephone_number": "850-613-2044",
            "fax_number": "850-613-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 11TH AVENUE",
            "address_2": "SUITE H-3",
            "city": "SHALIMAR",
            "state": "FL",
            "postal_code": "32579",
            "telephone_number": "850-613-2044",
            "fax_number": "850-613-6593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "BRADLEY",
        "middle_name": "HAMILTON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "346589700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Weber, CCC SLP
• Janie M. Weeks-Long, CRNA
• Colleen Wenner-Foy, MA LMHC. MCAP
• Allyson Wilson
• Wound Care to You
• Hunter Young, MS

• Chiropractor in Shalimar, FL
• Providers in Shalimar, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.