VALLEY FOOT & ANKLE, PC
NPI 1669516738
Podiatrist in Pocatello, ID

Active since February 20, 2007
1455 BENCH RD STE B, POCATELLO, ID 83201(208) 232-0006(208) 232-0006 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Nov 2, 2017 (2 updates tracked since 2017).

About Valley Foot & Ankle, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VALLEY FOOT & ANKLE, PC (NPI 1669516738) is a healthcare organization registered as a podiatrist in Pocatello, Idaho and active in the NPI registry since February 2007. The organization maintains a secondary practice location in Pocatello and lists Brandon Dean Wilde, Owner/practioner, as its authorized official.

NPPES Registry Identity

NPI1669516738
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameVALLEY FOOT & ANKLE, PC
Location Address1455 BENCH RD STE BPocatello, ID 83201-5084
Mailing Address1455 Bench Rd Ste BPocatello, ID 83201-5084 · (208) 232-0006 · Fax (208) 233-8771
Fax(208) 232-0006
Organization SubpartNo
Authorized OfficialBrandon Dean WildeOwner/practioner · (208) 232-0006
Enumeration DateFebruary 20, 2007
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1669516738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in ID · P92
Definition

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.

1455 BENCH RD STE B, Pocatello, ID 83201

Secondary Practice Location 1

Location 11155 Pocatello Creek RdPocatello, ID 83201-2949 · Phone (208) 232-0006 · Fax (208) 233-8771

Other Identifiers 3

Medicaid806528400ID
Medicaid804267100ID
Medicaid000806000ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist
1455 BENCH RD STE B
POCATELLO, ID 83201
Podiatrist (Foot & Ankle Surgery)
1455 BENCH RD STE B
POCATELLO, ID 83201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Valley Foot & Ankle, PC's NPI number?

The NPI number for Valley Foot & Ankle, PC is 1669516738. It was assigned to this organization in the NPPES registry on February 20, 2007.

Where is Valley Foot & Ankle, PC located?

Valley Foot & Ankle, PC is located at 1455 Bench Rd Ste B, Pocatello, ID 83201. The listed phone number is (208) 232-0006.

What is Valley Foot & Ankle, PC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Valley Foot & Ankle, PC was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.