Individual provider Active NPI

Bryce A. Younger, PA-C

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1861728230
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2944 Issued in CO
Practice address
1721 E 19TH Ave Ste 300
Denver, CO 80218-1258
Phone
(720) 754-4800
Fax
(720) 754-4801
NPI assigned
Oct 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2944 CO Primary

Addresses

Primary practice location

1721 E 19TH Ave Ste 300
Denver, CO 80218-1258

Mailing address

4900 S Monaco St
Ste 210
Denver, CO 80237-3486
Phone (720) 754-4800

Other identifiers 2

IdentifierTypeStateIssuer
1861728230MedicaidWY
99436515MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20100217000030 CO Practitioner - Physician Assistant 3173667938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthone Clinic Services - Oncology Hematology LLCGroup PAC ID 9436293461, 47 clinicians

Practice addresses (Care Compare)

1719 E 19TH Ave
Presbyterian St Lukes Medical Center
Denver, CO 80218-1235
Phone (303) 839-6000

1721 E 19TH Ave
Suite 300
Denver, CO 80218-1251
Phone (720) 754-4800

Hospital & facility affiliations

  • HCA HealthOne Presbyterian St. Lukes Hospital, Denver, CO, CCN 060014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2944COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Khalid Chowdhury MD, PC PastSince Feb 12, 2013 Accepting new patients
Rocky Mountain Cancer Centers, LLP Past Accepting new patients

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": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1861728230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S MONACO ST",
            "address_2": "STE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373486",
            "telephone_number": "720-754-4800",
            "fax_number": "720-754-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 E 19TH AVE STE 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181258",
            "telephone_number": "720-754-4800",
            "fax_number": "720-754-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGER",
        "first_name": "BRYCE",
        "middle_name": "A.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-20",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "2944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861728230",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99436515",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.