Individual provider Active NPI

Brent H Young, M.D.

  • Anesthesiology Physician
  • Waltham, MA
National Provider Identifier
1538216643
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
205786 Issued in MA
Practice address
20 Hope Ave
Suite 107
Waltham, MA 02453-2721
Phone
(781) 894-5522
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 205786 MA Primary

Addresses

Primary practice location

20 Hope Ave
Suite 107
Waltham, MA 02453-2721

Mailing address

790 Boylston St
Apartment # 4K
Boston, MA 02199-7928
Phone (781) 894-5522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120516000188 MA Practitioner - Anesthesiology 3678629656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Tennessee, HSC, College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston Advanced Anesthesia, IncGroup PAC ID 4486551272, 2 clinicians

Practice addresses (Care Compare)

281 Winter St
Suite 210
Waltham, MA 02451-8766
Phone (781) 895-7901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Advanced Anesthesia, Inc Anesthesiology CurrentSince Jul 21, 2003 Accepting new patients
Boston Surgery Center, LLC Past Accepting new patients

Locations

85 1st Ave
Waltham, MA 02451
Phone (781) 647-7246

Interoperability endpoints

  • Direct secure messaging: brent.young.p1@direct.bostonpaincare.nextgenshare.com

Organizations & group practices 2

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538216643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 BOYLSTON ST",
            "address_2": "APARTMENT # 4K",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021997928",
            "telephone_number": "781-894-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HOPE AVE",
            "address_2": "SUITE 107",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024532721",
            "telephone_number": "781-894-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "BRENT",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "205786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.