Ralph Raymond Young Jr., M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

D7375 Issued in TX

Practice address

1404 Bristol St
Bryan, TX 77802-1919

Phone

(979) 779-6615

Fax

(979) 823-2785

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1932270410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3607",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778053607",
            "telephone_number": "979-779-6615",
            "fax_number": "979-823-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 BRISTOL ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778021919",
            "telephone_number": "979-779-6615",
            "fax_number": "979-823-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "RALPH",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "D7375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "340004371",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105490002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "878516",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan Keith Young, M. D.
• Jake Young, MD
• Jonathon Young
• Joshua Alan Young, CRNA
• Lon Kendall Young, MD
• Taylor Young
• Abraham Chanyang Yu, MD
• Lauren Zapata, AGACNP-BC
• Robert Zeid II, PT, DPT
• Lilian Zhan, DO

• Urology Physician in Bryan, TX
• Providers in Bryan, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.