Valley Foot & Ankle, PC

Public-record details

Address

1455 Bench Rd Ste B, Pocatello, ID 83201

Phone

(208) 232-0006

Listed under

Practices and organizations

NPI

1669516738

NPI status

Active in the NPPES registry

Provider type

Organization (practice, clinic or company)

Registered specialty (self-reported taxonomy)

Podiatrist (213E00000X)

License number on NPI record

P92 (ID)

Authorized official

Brandon Wilde, DPM, Owner/practioner

NPI first issued

Feb 20, 2007

Years since NPI first issued

19 years (since 2007)

License state on NPI record

ID

NPI record last updated

Mar 17, 2018

Medicare group enrollment (CMS)

Enrolled: listed in CMS Doctors & Clinicians as Valley Foot and Ankle PC

Clinicians in the Medicare group (all specialties, CMS)

3

Podiatrists in the group at this ZIP (CMS)

2

Group Medicare assignment (CMS)

Accepts the Medicare-approved amount as payment in full

Other practice locations (NPPES)

1: Pocatello, ID

Other podiatry listings at this street address

2

NPI 1669516738 is active in the federal NPPES registry (CMS) with Podiatrist as its self-reported primary taxonomy; license P92 (ID) is listed on the record. CMS Doctors & Clinicians lists a Medicare-enrolled group with this name at this ZIP. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-16.

Public record, not an endorsement. This listing was compiled from public records as of 2026-10-16 and may be incomplete or out of date. Podiatrist Index does not vet, employ, recommend or guarantee podiatry practices; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Podiatrist Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Podiatrists hold a Doctor of Podiatric Medicine (DPM) degree and are licensed by each state to treat the foot and ankle; the scope, especially for ankle surgery, varies by state. A registered specialty is not board certification. Confirm the license with the state podiatry board and board certification with the American Board of Foot and Ankle Surgery or the American Board of Podiatric Medicine.

View NPI 1669516738 in the official registry ↗

Podiatrists and practices at this address

Other listings in this directory whose NPI record gives the same street address and ZIP. A shared address usually means a shared practice or building; it does not by itself show who works with whom.

• Derek Knapp, DPM
• Brandon Wilde, DPM