Organization Active NPI

Brad Young D.C., P.C.

  • Chiropractor
  • Layton, UT
National Provider Identifier
1770779159
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4997956-1202 Issued in UT
Legal business name
BRAD YOUNG D.C., P.C.
Practice address
1848 N Hill Field Rd
Suite 101
Layton, UT 84041-2164
Phone
(801) 544-1401
Fax
(801) 544-1404
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Authorized official

Name
Mr. James Bradley Young, DCNPI 1861580888
Title
President
Phone
(801) 544-1401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4997956-1202 UT Primary

Addresses

Primary practice location

1848 N Hill Field Rd
Suite 101
Layton, UT 84041-2164

Mailing address

1848 N Hill Field Rd
Suite 101
Layton, UT 84041-2164
Phone (801) 544-1401

Other names 1

  • Young Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080201000218 UT Part B Supplier - Clinic/Group Practice 8224110010 Receives reassigned benefits from 1 practitioner
Practice locations: Layton, UT

National Provider Directory

National Provider Directory

Locations

1410 N Hill Field Rd
Ste 4
Layton, UT 84041
Phone (801) 544-1401

1868 N Hill Field Rd
Ste 101
Layton, UT 84041
Phone (801) 825-6464

1848 N Hill Field Rd
Ste 101
Layton, UT 84041
Phone (801) 544-1401

2112 N Hill Field Rd
Ste 2B
Layton, UT 84041
Phone (801) 774-0555

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1770779159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 N HILL FIELD RD",
            "address_2": "SUITE 101",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840412164",
            "telephone_number": "801-544-1401",
            "fax_number": "801-544-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 N HILL FIELD RD",
            "address_2": "SUITE 101",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840412164",
            "telephone_number": "801-544-1401",
            "fax_number": "801-544-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD YOUNG D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-544-1401",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "4997956-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Young Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.