VALLEY FOOT & ANKLE PC NPI 1669516738

NPI Information

  • NPI: 1669516738
  • Provider Name: VALLEY FOOT & ANKLE, PC
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 1455 BENCH RD STE B
    POCATELLO, ID
    ZIP 83201
  • Phone: (208) 232-0006

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NPI Details

VALLEY FOOT & ANKLE, PC is a podiatrist in Pocatello, ID. The provider is 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 medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. VALLEY FOOT & ANKLE, PC NPI is 1669516738. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

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

The provider's authorized official is Brandon Dean Wilde .
The authorized official title is Owner/practioner and has the following contact phone number (208) 232-0006.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 3/17/2018.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristP92IDAHOYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1806528400MEDICAIDIDAHO
2804267100MEDICAIDIDAHO
3000806000MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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