Organization Active NPI

Young & Young Urology Associates

  • Urology Physician
  • Bryan, TX
National Provider Identifier
1699847509
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
YOUNG & YOUNG UROLOGY ASSOCIATES
Practice address
1404 Bristol
Bryan, TX 77802
Phone
(979) 779-6615
Fax
(979) 823-2785
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Mrs. Nancy Carr Young, RN, FNP
Title
Office Management
Phone
(979) 779-6615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

1404 Bristol
Bryan, TX 77802

Mailing address

PO Box 3607
Bryan, TX 77805-3607
Phone (979) 779-6615

Other identifiers 3

IdentifierTypeStateIssuer
083310501MedicaidTX
00JH31OtherTXBLUE CROSS GROUP NUMBER
CP4127OtherTXMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Locations

1404 Bristol St
Bryan, TX 77802
Phone (409) 779-6615

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1699847509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3607",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778053607",
            "telephone_number": "979-779-6615",
            "fax_number": "979-823-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 BRISTOL",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "77802",
            "telephone_number": "979-779-6615",
            "fax_number": "979-823-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG & YOUNG UROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "CARR",
        "authorized_official_title_or_position": "OFFICE MANAGEMENT",
        "authorized_official_telephone_number": "979-779-6615",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, FNP"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083310501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "00JH31",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CP4127",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.