GERALD L YOUNG M.D. NPI 1649280256

NPI Information

  • NPI: 1649280256
  • Provider Name: GERALD L YOUNG, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 366 S 3RD W
    SODA SPRINGS, ID
    ZIP 83276
  • Phone: (208) 547-4961

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NPI Details

Gerald L Young, M.D. is a family medicine in Soda Springs, ID. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Gerald L Young, M.D. NPI is 1649280256. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

366 S 3RD W
SODA SPRINGS, ID
ZIP 83276-559
Phone: (208) 547-4961
Fax: (208) 547-3781

The enumeration date for this NPI number is 8/8/2006 and was last updated on 3/25/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineM3234IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1080191334OTHERIDAHORAILROAD MEDICARE
232342OTHERIDAHOBLUE CROSS OF IDAHO
3000010006157OTHERIDAHOREGENCE BLUE SHIELD
41109919MEDICARE ID-TYPE UNSPECIFIEDIDAHO
5C36826MEDICARE UPINIDAHO
60025019MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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