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

Shaylor Bringhurst, MD

Individual provider Family Medicine Physician · NPI 1073353454

Shaylor Bringhurst, MD is a Family Practice in Pocatello, Idaho. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Idaho.

Years since qualifying
2
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 MRO-2424 (ID)

Record details

NPI number1073353454
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 31, 2024
Last updated in NPPESMay 31, 2024
Certification dateMay 31, 2024
Mailing address500 S 11th Ave Ste 400, Pocatello, ID 83201-4880

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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