Active NPI
Brad Yang
- Preferred Provider Organization
- Pinellas Park, FL
National Provider Identifier
1376979443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- Practice address
- 8940 67TH Way N
Pinellas Park, FL 33782-4517 - Phone
- (727) 657-7165
- NPI assigned
- Sep 20, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | FL | ||
| In Home Supportive Care Agency | 253Z00000X | FL | ||
| Home Delivered Meals | 332U00000X | |||
| Home Health Agency | 251E00000X | FL | ||
| Non-emergency Medical Transport (VAN) | 343900000X | FL | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Preferred Provider Organization | 305R00000X | FL | Primary |
Addresses
Primary practice location
8940 67TH Way N
Pinellas Park, FL 33782-4517
Mailing address
8940 67TH Way N
Pinellas Park, FL 33782-4517
Phone (727) 777-4241
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1376979443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8940 67TH WAY N",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337824517",
"telephone_number": "727-777-4241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8940 67TH WAY N",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337824517",
"telephone_number": "727-657-7165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "BRAD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-20",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pinellas Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.