Search › Idaho › 207Q00000X
Braiden Shumway, DO
NPI 1548991045 · on the registry since 2022
Practice
- Address
- 2454 N 25th E Ste 101
Idaho Falls, ID 83401 - Phone
- (208) 356-4900
- Fax
- (208) 612-6118
- Organisation at this address
- Upper Valley Community Health Services Inc
Upper Valley Community Health Services IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Additional practice sites
- 72 S 1st E Ste 101, Rexburg, ID
- 335 E Main St Ste 1, Saint Anthony, ID
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- ID, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho