Active NPI
Bruce W Young, M.D.
- Family Medicine Physician
- Olathe, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0423230
- Practice address
- 1803 S Ridgeview Rd
Olathe, KS 66062-2376 - Phone
- (913) 829-0505
- Fax
- (913) 338-1311
- NPI assigned
- Sep 30, 2005
- 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 Medicine Physician | 207Q00000X | 0423230 | KS | Primary |
Addresses
Primary practice location
1803 S Ridgeview Rd
Olathe, KS 66062-2376
Mailing address
PO Box 741331
Atlanta, GA 30374-1331
Phone (913) 469-0503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Southern Illinois University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10500 Quivira Rd
Overland Park, KS 66215-2306
Phone (913) 541-5000
10600 Mastin St
Overland Park, KS 66212-5723
1803 S Ridgeview Rd
Olathe, KS 66062-2376
Phone (913) 829-0505
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0423230 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Overland Park Surgical Specialties LLC | Family Medicine | Current | Accepting new patients |
| College Park Family Care Center PA | Family Medicine | Current | Accepting new patients |
| College Park Family Care Center, P.a. | Past | Accepting new patients |
Locations
20333 W 151st St
Olathe, KS 66061
Phone (888) 960-1393
1803 S Ridgeview Rd
Olathe, KS 66062
Phone (913) 735-4726
10600 Mastin St
Ste C
Overland Park, KS 66212
Phone (913) 469-6447
10100 W 119th St
Ste 150
Overland Park, KS 66213
Phone (913) 469-8878
11755 W 112th St
Ste 101
Overland Park, KS 66210
Phone (913) 469-0503
11725 W 112th St
Overland Park, KS 66210
Phone (913) 469-5452
10500 Quivira Rd
Ste 130
Overland Park, KS 66215
Phone (913) 956-4200
11755 W 112th St
Ste 202
Overland Park, KS 66210
Phone (913) 469-0433
10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- bruce.young@hca2.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Overland Park, KS
- NPI 1760798540
-
- Family Medicine Physician
- Overland Park, KS
- NPI 1740248772
-
- Radiology Clinic/Center
- Overland Park, KS
- NPI 1881803229
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paola, KS
- NPI 1700824398
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1578500484
-
- General Acute Care Hospital
- Olathe, KS
- NPI 1144266115
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357862400000",
"number": "1487641866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 741331",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303741331",
"telephone_number": "913-469-0503",
"fax_number": "913-338-1311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1803 S RIDGEVIEW RD",
"city": "OLATHE",
"state": "KS",
"postal_code": "660622376",
"telephone_number": "913-829-0505",
"fax_number": "913-338-1311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "BRUCE",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2013-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "0423230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.
- 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.