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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRANDON D WILDE, D.P.M.

Active Sole Proprietor

DR. BRANDON D WILDE, D.P.M. is a Foot & Ankle Surgery Podiatrist healthcare provider located in POCATELLO, Idaho. NPI 1407169865 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · POCATELLO, ID

Registration Details

NPI Number
1407169865
Provider Type
Individual
Gender
Male
NPI Issued
Jul 14, 2010 (16.045630758386 yrs)
Last Updated
Mar 5, 2026
License
P-217 (ID)
Sole Proprietor
Yes

Practice Information

Address
1455 BENCH RD STE B
POCATELLO, ID, 832015084
Browse ID providers · Browse ZIP 83201
Phone
2082320006
Fax
2082338771
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X

Other Foot & Ankle Surgery Podiatrist Providers in POCATELLO, ID

Name Credential NPI
KERT W HOWARD D.P.M. 1245216647
STEVEN JEFF BRAY DPM 1386721637
DR. ADAM MATTHEWS DPM 1134411408
KARSON KERT HOWARD DPM 1992093561
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.