Active NPI
Brenna Young, DC
- Chiropractor
- Bismarck, ND
National Provider Identifier
1821734591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1167
- Practice address
- 215 W Main Ave
Bismarck, ND 58501-3741 - Phone
- (701) 255-4241
- NPI assigned
- May 6, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1167 | ND | Primary |
Addresses
Primary practice location
215 W Main Ave
Bismarck, ND 58501-3741
Mailing address
2907 43Rd Ave NE Apt 114
Bismarck, ND 58503-8096
Phone (701) 382-9834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220622002117 | ND | Practitioner - Chiropractic | 2567841570 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bright Life Family Chiropractic PC
Practice addresses (Care Compare)
3001 Yorktown Dr
Suite 3
Bismarck, ND 58503-8619
Phone (701) 712-8588
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1167 | ND | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Life Family Chiropractic, PC | Current | Accepting new patients |
Locations
3001 Yorktown Dr
Ste 3
Bismarck, ND 58503
Phone (701) 712-8588
Organizations & group practices 1
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": "1651795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1821734591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2907 43RD AVE NE APT 114",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585038096",
"telephone_number": "701-382-9834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 W MAIN AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585013741",
"telephone_number": "701-255-4241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "BRENNA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-06",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ND",
"license": "1167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.