DR. BRANDON D WILDE D.P.M. NPI 1407169865

NPI Details

DR. Brandon D Wilde, D.P.M. is a foot and ankle surgery podiatrist in Pocatello, ID with 17 years of experience. DR. Brandon D Wilde, D.P.M. NPI is 1407169865. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLLEGE OF PODIATRIC MED AND SURGERY, DES MOINES UNIVERSITY
Graduation Year:2009

The provider's business location address is:

1455 BENCH RD STE B
POCATELLO, ID
ZIP 83201-084
Phone: (208) 232-0006
Fax: (208) 233-8771

The NPI 1407169865 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• X-ray of foot, minimum of 3 views (HCPCS:73630)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
• Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
• Follow-up training in the use of orthopedic device or artificial arm, leg and/or trunk, each 15 minutes (HCPCS:97763)
• Aspiration and/or injection of fluid from small joint (HCPCS:20600)
• X-ray of ankle, minimum of 3 views (HCPCS:73610)
• Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
• X-ray of foot, 2 views (HCPCS:73620)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 7/14/2010 and was last updated on 11/14/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.