Provider Demographics
NPI:1902849821
Name:YOUNG, BRETT D (MD)
Entity Type:Individual
Prefix:
First Name:BRETT
Middle Name:D
Last Name:YOUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5220 W UNIVERSITY DR STE 100
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-7402
Mailing Address - Country:US
Mailing Address - Phone:469-800-5100
Mailing Address - Fax:469-800-5110
Practice Address - Street 1:5220 W UNIVERSITY DR STE 100
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-7402
Practice Address - Country:US
Practice Address - Phone:469-800-5100
Practice Address - Fax:469-800-5110
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8238207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1657892-08Medicaid
TX165789204Medicaid
TX165789201Medicaid
TX165789206Medicaid
TX8F8838OtherBCBS
TXTXB109973Medicare PIN
TXI09086Medicare UPIN
TX165789206Medicaid
TX165789201Medicaid