David Bruce Young, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME33985 Issued in FL

Practice address

5907 Berryhill Rd
Milton, FL 32570-8278

Phone

(850) 623-9787

Fax

(850) 626-7512

NPI assigned

Aug 10, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1669483525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5907 BERRYHILL RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325708278",
            "telephone_number": "850-623-9787",
            "fax_number": "850-626-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5907 BERRYHILL RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325708278",
            "telephone_number": "850-623-9787",
            "fax_number": "850-626-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "DAVID",
        "middle_name": "BRUCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME33985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0650854-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew James Wissner
• Rachael Nicole Wixon, LCSW
• Mary Ann Wood, LCSW
• Sherry Worley, RN
• Jacob Kie Wu
• Kaitlin Hadaway Yuhasz, DPT
• Corneta Mae Zimmerman, RBT
• Donna Zuhlke, BEHAVIOR TECHNICIAN

• Family Medicine Physician in Milton, FL
• Providers in Milton, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.