P Praxis·MD
● Active Type 1 · Individual

Glen David Shapiro, MD

Orthopaedic Surgery·Hailey, ID· NPI 1336283779 · Enumerated 2007 · 19 years on NPI
Shapiro is 1 of 3 orthopaedic surgery providers in Hailey and 1 of 239 in Idaho.
NPI age
19 years
Enumerated 2007-02-19
Primary specialty
Orthopaedic Surgery
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-05-23
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 239 active orthopaedic surgery providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
25% of peers hold multiple states
Subspecialties
0
45% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-02Enumerated in NPPES
2007 2026

Where they practice

Practice location
513 N Main St
Hailey, ID 83333
📞 8777546330fax 8779931515
Mailing address
1420 N 2nd Ave
Hailey, ID 83333
📞 8777546330fax 8779931515

Specialties

  • Orthopaedic Surgery Primary
    An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is...
    ID license #M9172 taxonomy 207X00000X

Identifiers

TypeValueNotes
01 (ID) 100000294843 REGENCE
05 (ID) 0001364855
01 (ID) 11289122 PTAN
01 (ID) B6493 BCID
01 (ID) B6493 BLUE CROSS
01 (ID) P00247850 RAILROAD MEDICARE

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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