Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Braeden Leiby, MD

Individual provider Family Medicine Physician · NPI 1780424184

Braeden Leiby, MD is a Family Medicine Physician in Pocatello, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

465 Memorial Dr
Pocatello, ID 83201-4008
Phone: (208) 232-7862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 1671160 (ID)

Record details

NPI number1780424184
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 31, 2024
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025
Mailing address500 S 11th Ave Ste 400, Pocatello, ID 83201-4880

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