Individual provider Active NPI

James Bradley Young, DC

  • Chiropractor
  • Layton, UT
National Provider Identifier
1861580888
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
49979561202 Issued in UT
Practice address
1848 N Hill Field Rd Ste 101
Layton, UT 84041-2218
Phone
(801) 544-1401
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 49979561202 UT Primary

Addresses

Primary practice location

1848 N Hill Field Rd Ste 101
Layton, UT 84041-2218

Mailing address

1848 N Hill Field Rd Ste 101
Layton, UT 84041-2218
Phone (801) 544-1401

Other identifiers 7

IdentifierTypeStateIssuer
49979561277001OtherBLUE CROSS BLUE SHIELD
9341754OtherPRIVATE HEALTHCARE SYSTEM
66300OtherPEHP
54873OtherALTIUS
1038730OtherAMERICAN SPECIALTY HEALTH
1770779159MedicaidUT
870395551YNGOtherEDUCATORS MUTUAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040608001182 UT Practitioner - Chiropractic 4284617655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1868 N Hill Field Rd
Suite 101
Layton, UT 84041-2191
Phone (801) 825-6464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
49979561202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brad Young D.C., P.C. Chiropractor CurrentSince Sep 17, 2007 Accepting new patients
Forever Young Health and Wellness LLC Chiropractor Past Accepting new patients

Locations

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

Organizations & group practices 2

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1861580888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 N HILL FIELD RD STE 101",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840412218",
            "telephone_number": "801-544-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 N HILL FIELD RD STE 101",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840412218",
            "telephone_number": "801-544-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JAMES",
        "middle_name": "BRADLEY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "49979561202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "49979561277001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTHCARE SYSTEM",
            "identifier": "9341754",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "66300",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "54873",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPECIALTY HEALTH",
            "identifier": "1038730",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770779159",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDUCATORS MUTUAL",
            "identifier": "870395551YNG",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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.
  • 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.

Verify at the official NPI Registry.