BRADLEY P YOUNG APRN
NPI 1417446352
Nurse Practitioner - Family in Pleasanton, KS

Q: What is Bradley Young's NPI number?

The NPI number for Bradley Young is 1417446352. It was assigned to this individual provider in the NPPES registry on May 7, 2018.

Q: What is Bradley Young's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Bradley Young was last updated on August 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 07, 2018

11155 TUCKER RD, PLEASANTON, KS 66075(913) 352-8379(913) 352-8998 Get Directions Write a Review

NPPES record last updated: August 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 18, 2020, Jan 17, 2019, May 7, 2018 (3 updates tracked since 2018).

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About Bradley P Young Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADLEY P YOUNG APRN (NPI 1417446352) is an individual family provider in Pleasanton, Kansas, licensed in Kansas (78117) and active in the NPI registry since May 2018. He maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1417446352

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameBRADLEY P YOUNGCredential: APRN

Location Address11155 TUCKER RDPleasanton, KS 66075-8401

Mailing Address3011 N Michigan StPittsburg, KS 66762-2546 · (620) 231-9873

Phone(913) 352-8379

Fax(913) 352-8998

Sole ProprietorNo

Enumeration DateMay 7, 2018

Last NPPES UpdateAugust 18, 20203 updates tracked since enumeration

NPPES CertifiedAugust 18, 2020

✔ NPI 1417446352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in KS · 78117✔ Licensed in OK · 136260

11155 TUCKER RD, Pleasanton, KS 66075

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Secondary Practice Location 1

Location 1106 NW Veterans BlvdMiami, OK 74354-1818 · Phone (918) 238-3074

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))