NPI age
19 years
Enumerated 2006-09-27
● Active
Type 1 · Individual
Kurt R Mayberry, MD
Mayberry is 1 of 5 emergency medicine providers in Rexburg and 1 of 336 in Idaho.
Primary specialty
Emergency Medicine
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 336 active emergency medicine providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
40% of peers hold multiple states
Subspecialties
0
51% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Practice location
450 E Main St
Rexburg, ID 834402048
Mailing address
450 E Main St, Po Box 310
Rexburg, ID 834402048
Specialties
-
Emergency Medicine PrimaryAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 028692 | BLUE CROSS OF IDAHO # |
| 01 (ID) | 000010139001 | BLUE SHIELD OF IDAHO # |
| 01 (ID) | M8416 | STATE LICENSE # |
Practice context
Part of a multi-provider practice. 41 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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