Individual provider Active NPI

Bradley Scott Young, RN

  • Acute Care Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1831727403
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
432846 Issued in NY
Practice address
601 Elmwood Ave.
Rochester, NY 14642-0001
Phone
(585) 273-1841
Fax
(585) 756-4411
NPI assigned
Mar 30, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 745872 NY
Acute Care Nurse Practitioner 363LA2100X 432846 NY Primary

Addresses

Primary practice location

601 Elmwood Ave.
Rochester, NY 14642-0001

Mailing address

601 Elmwood Ave Box Med
Rochester, NY 14642-0001
Phone (585) 273-1841

Other practice location 1

41 Lakeview Park
Rochester, NY 14613-1741
Phone (585) 353-3569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240102002845 NY Practitioner - Nurse Practitioner 9931559010 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Frederick Ferris Thompson HospitalGroup PAC ID 3274428586, 227 clinicians

Practice addresses (Care Compare)

350 Parrish St
Canandaigua, NY 14424-1731
Phone (585) 396-6000

Hospital & facility affiliations

  • F F Thompson Hospital Hospital, Canandaigua, NY, CCN 330074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
745872NYMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Disease Clinical Group CurrentSince Nov 20, 2023 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Jan 6, 2025 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Jan 6, 2025 Accepting new patients

Locations

350 Parrish St
Canandaigua, NY 14424
Phone (585) 396-6000

73 Buffalo St
Ste 100
Canandaigua, NY 14424

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

15 Canandaigua St
Shortsville, NY 14548
Phone (585) 289-3560

Interoperability endpoints

  • Direct secure messaging: byoung80175@direct.urmc.rochester.edu

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1831727403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX MED",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-273-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE.",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-273-1841",
            "fax_number": "585-756-4411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Lakeview Park",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146131741",
            "country_code": "US",
            "telephone_number": "585-353-3569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "BRADLEY",
        "middle_name": "SCOTT",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NY",
            "license": "745872",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "432846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.