Brady Kyle Shepherd
Brady Kyle Shepherd is a Certified Registered Nurse Anesthetist (CRNA) in Pocatello, Idaho. Qualified in 2023, 3 years ago. Practices with Northstar Anesthesia of Idaho PLLC, a 39-clinician group and accepts Medicare assignment. Licensed in Idaho and Utah.
- Years since qualifying
- 3
- Licensed in
- ID, UT
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
777 Hospital WayPocatello, ID 83201-5175
Phone: (208) 239-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 78781 (ID) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 10256717-3102 (UT) |
Record details
| NPI number | 1093586158 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 9, 2024 |
| Last updated in NPPES | March 8, 2024 |
| Certification date | March 8, 2024 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Northstar Anesthesia Of Idaho Pllc — 39 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Pocatello
-
Ann Knighton, RN
7050 W Portneuf Rd, Pocatello, ID 83204-7331 · (208) 232-4998
-
Jess Lufkin, CRNA
777 Hospital Way, Pocatello, ID 83201-5175 · (208) 716-7215
-
Kara Kerise Olsen, NP-C
1155 Pocatello Creek Rd Ste A, Pocatello, ID 83201-2949 · (208) 223-8898
-
Mr. Benson S Roper, CRNA
777 Hospital Way, Pocatello, ID 83201-5175 · (208) 239-1000
-
Tammy L Skidmore, CRNA
777 Hospital Way, Pocatello, ID 83201-5175 · (208) 239-1000
-
Brian Matthew Smith, RN
444 Hospital Way Ste 801, Pocatello, ID 83201-2745 · (208) 232-6214