Individual provider Active NPI

Bohn Marshall Young, DPM

  • Podiatrist
  • Brownwood, TX
National Provider Identifier
1952468290
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1453 Issued in TX
Practice address
103 A South Park Drive
Brownwood, TX 76801
Phone
(325) 646-0715
Fax
(325) 646-3734
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1453 TX Primary

Addresses

Primary practice location

103 A South Park Drive
Brownwood, TX 76801

Mailing address

103 A South Park Drive
Brownwood, TX 76801
Phone (325) 646-0715

Other identifiers 1

IdentifierTypeStateIssuer
092724604MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100623000448 TX Practitioner - Podiatry 1850422692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

103 S Park Dr
Suite a
Brownwood, TX 76801-5905
Phone (325) 646-0715

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
44.41 of 100Reported as individual
Quality
0
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue17
Removal of skin lesions1-10
Removal of nail tissue411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1453TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Texas Foot Care Center, P.a. Podiatrist CurrentSince Jan 1, 2003 Accepting new patients

Locations

103 S Park Dr
Ste A
Brownwood, TX 76801
Phone (325) 646-0715

Interoperability endpoints

  • Direct secure messaging: bmyoung@yourcarecommunity.org

Organizations & group practices 1

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 3

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1952468290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 A SOUTH PARK DRIVE",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "76801",
            "telephone_number": "325-646-0715",
            "fax_number": "325-646-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 A SOUTH PARK DRIVE",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "76801",
            "telephone_number": "325-646-0715",
            "fax_number": "325-646-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "BOHN",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092724604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownwood, TX

Sources for this page

Verify at the official NPI Registry.