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NPI 1669516738
● Active Type 2 · Organization
Valley Foot & Ankle, Pc
Podiatrist · Pocatello, ID · NPI 1669516738
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Enumerated 2007 · 19 years on NPI
Valley Foot & Ankle, Pc is 1 of 68 podiatrist organizations in Idaho.
NPI age
19 years
Enumerated 2007-02-20
Primary specialty
Podiatrist
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Wilde
Owner/practioner
Last NPPES update
2018-03-17
Source: monthly bulk 2026-05
How this organization compares
Across 68 active podiatrist providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
Practice locations
2
1 secondary on file
NPI lifetime · 2007 → 2026
2007-02 Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1455 Bench Rd Ste B
Pocatello, ID 832015084
📞 2082320006 fax 2082320006
Mailing address
1455 Bench Rd Ste B
Pocatello, ID 832015084
📞 2082320006 fax 2082338771
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1155 Pocatello Creek Rd
Pocatello, ID 832012949
📞 2082320006 fax 2082338771
Authorized official
Brandon Dean Wilde, DPM
Owner/practioner
📞 2082320006
Individual providers at this organization
1 individual provider on file at this primary practice address.
Specialties
Podiatrist
Primary
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform...
ID license #P92 taxonomy 213E00000X
Identifiers
Type Value Notes
05 (ID)
000806000
05 (ID)
804267100
05 (ID)
806528400
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
Plus 1 secondary practice location.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.