NPI age
13 years
Enumerated 2012-06-20
● Active
Type 1 · Individual
DR. Trevor Glade Wilde, D.O.
Wilde is 1 of 1 family medicine providers in Saint Anthony and 1 of 1691 in Idaho.
Primary specialty
Family Medicine
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-08-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1691 active family medicine providers in Idaho.
NPI age
13 years
↓ 4 yr below median (17 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties
NPI lifetime · 2012 → 2026
2012-06Enumerated in NPPES
2012
2026
Where they practice
Practice location
335 E Main St Ste 1
Saint Anthony, ID 834451546
Mailing address
Po Box 18
Saint Anthony, ID 834450018
Additional practice locations
1 secondary location on file with NPPES.
Location 2
72 S 1st E Ste 101
Rexburg, ID 834401965
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Practice context
Part of a multi-provider practice. 8 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.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.