Active NPI
David Young, MD
- Family Medicine Physician
- Fredericksburg, TX
National Provider Identifier
1851301204
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jul 20, 2025.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- N4218
- Practice address
- 1020 S State Highway 16
Fredericksburg, TX 78624-4471 - Phone
- (501) 545-9910
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E0011 | AR | |
| Family Medicine Physician | 207Q00000X | 2019-02461 | NC | |
| Family Medicine Physician | 207Q00000X | 307784 | NY | |
| Family Medicine Physician | 207Q00000X | 00041561 | AL | |
| Family Medicine Physician | 207Q00000X | 35.136341 | OH | |
| Family Medicine Physician | 207Q00000X | 29064 | OK | |
| Family Medicine Physician | 207Q00000X | 036152980 | IL | |
| Family Medicine Physician | 207Q00000X | 52754 | SC | |
| Family Medicine Physician | 207Q00000X | 25MA11002300 | NJ | |
| Family Medicine Physician | 207Q00000X | 18154 | NH | |
| Family Medicine Physician | 207Q00000X | 56860 | AZ | |
| Family Medicine Physician | 207Q00000X | DR.0063249 | CO | |
| Family Medicine Physician | 207Q00000X | 10285 | SD | |
| Family Medicine Physician | 207Q00000X | N4218 | TX | Primary |
Addresses
Primary practice location
1020 S State Highway 16
Fredericksburg, TX 78624-4471
Mailing address
1020 S State Highway 16
Fredericksburg, TX 78624-4471
Phone (501) 545-9910
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | app.kareo.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00041561 | AL | MD | Family Medicine Physician |
| E0011 | AR | MD | Family Medicine Physician |
| 56860 | AZ | MD | Family Medicine Physician |
| DR.0063249 | CO | MD | Family Medicine Physician |
| 036152980 | IL | MD | Family Medicine Physician |
| 2019-02461 | NC | MD | Family Medicine Physician |
| 18154 | NH | MD | Family Medicine Physician |
| 25MA11002300 | NJ | MD | Family Medicine Physician |
| 307784 | NY | MD | Family Medicine Physician |
| 35.136341 | OH | MD | Family Medicine Physician |
| 52754 | SC | MD | Family Medicine Physician |
| 10285 | SD | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1851301204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 S STATE HIGHWAY 16",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786244471",
"telephone_number": "501-545-9910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 S STATE HIGHWAY 16",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786244471",
"telephone_number": "501-545-9910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "DAVID",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E0011",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2019-02461",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "307784",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "00041561",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.136341",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "29064",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036152980",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "52754",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA11002300",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NH",
"license": "18154",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "56860",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0063249",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SD",
"license": "10285",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "N4218",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "app.kareo.com",
"affiliation": "N",
"endpointDescription": "emr",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1020 S State Highway 16",
"city": "Fredericksburg",
"state": "TX",
"country_code": "US",
"postal_code": "786244471",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fredericksburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.