MEDICARE: BRANDI YOUNG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	372500000X	Chore Provider
2	3747A0650X	Attendant Care Provider
3	376J00000X	Homemaker
4	390200000X	Student in an Organized Health Care Education/Training Program
5	372600000X	Adult Companion

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000-000-000	OTHER	NC	NON APPLICABLE

General Provider Information

NPI Number	:	1891215117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDI YOUNG

Provider Business Mailing Address
First Line	:	2413 OLD STEINE RD APT 908
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-6710
Country	:	US
Telephone Number	:	704-293-0526
Fax Number	:

Provider Business Practice Location Address
First Line	:	2413 OLD STEINE ROAD #908
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269
Country	:	US
Telephone Number	:	704-293-0526
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2017
Last Update Date	:	07/21/2022

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Directions to “ BRANDI YOUNG ” Practice Location

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