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

Jordan Lyle Bailey, MD

Individual provider Family Medicine Physician · NPI 1225124936

Jordan Lyle Bailey, MD is a Family Practice in Pocatello, Idaho. Graduated from University of Utah School of Medicine in 2002, 24 years ago. Practices with Pocatello Health Services LLC, a 178-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
24
Trained at
University of Utah School of Medicine
Licensed in
ID
In the registry since
2006
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

151 N 4th Ave Ste B
Pocatello, ID 83201-6300
Phone: (208) 269-7147
Fax: (208) 416-6522
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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 M9245 (ID)

Record details

NPI number1225124936
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 4, 2006
Last updated in NPPESAugust 10, 2021
Certification dateAugust 10, 2021
Mailing address151 N 4th Ave, Suite B, Pocatello, ID 83201-6300

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesHOSPICE/PALLIATIVE CARE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Pocatello Health Services Llc — 178 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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