P Praxis·MD
● Active Type 1 · Individual

DR. Brandon D Wilde, D.P.M.

Podiatrist·Pocatello, ID· NPI 1407169865 · Enumerated 2010 · 15 years on NPI
Wilde is 1 of 7 podiatrist providers in Pocatello and 1 of 67 in Idaho.
NPI age
15 years
Enumerated 2010-07-14
Primary specialty
Podiatrist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-03-05
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 67 active podiatrist providers in Idaho.

NPI age
15 years
≈ at median (14 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2010 → 2026

2010-07Enumerated in NPPES
2010 2026

Where they practice

Practice location
1455 Bench Rd Ste B
Pocatello, ID 832015084
📞 2082320006fax 2082338771
Mailing address
1455 Bench Rd, Suite B
Pocatello, ID 832015083
📞 2082320006fax 2082338771

Additional practice locations

1 secondary location on file with NPPES.

Location 2
10 S 1st W Ste B
Preston, ID 832631244
📞 2082320006fax 2082338771

Specialties

  • Podiatrist Primary
    Definition to come...
    ID license #P-217 taxonomy 213ES0103X

Identifiers

TypeValueNotes
05 (MO) 1407169865
01 (MO) P01271994 RAILROAD MEDICARE

Practice context

Part of a multi-provider practice. 1 other active provider shares 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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