Healthcare Provider Details

I. General information

NPI: 1548181753
Provider Name (Legal Business Name): BRETT YOUNG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 EMILE ST
OMAHA NE
68198-0600
US

IV. Provider business mailing address

13629 CORBY ST
OMAHA NE
68164-2415
US

V. Phone/Fax

Practice location:
  • Phone: 402-559-5100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835E0208X
TaxonomyEmergency Medicine Pharmacist
License Number16506
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: