Individual provider · Type 1 NPI

Brandon D. Wilde, D.P.M.

Foot & Ankle Surgery Podiatrist · Pocatello, ID

NPI number 1407169865 Active

Practice location

1455 Bench Rd Ste B
Pocatello, ID 83201-5084

Call (208) 232-0006 Map

Fax (208) 233-8771

Mailing address

1455 Bench Rd, Suite B
Pocatello, ID 83201-5083

Other practice locations

  • 10 S 1st W Ste B, Preston, ID 83263-1244 · (208) 232-0006

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XP-217 (ID)

Foot & Ankle Surgery Podiatrist: Definition to come...

2 other providers at this address

Other foot & ankle surgery podiatrist providers in Pocatello

See all in Pocatello →

About NPI 1407169865

Brandon D. Wilde, D.P.M.'s National Provider Identifier is 1407169865, issued on Jul 14, 2010. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Pocatello, ID. The record was last updated on Mar 5, 2026.