Valley Foot & Ankle, PC
NPI 1790864619ActiveOrganization· Podiatrist· Pocatello, ID
Podiatrist in Pocatello, Idaho, registered in NPPES in November 2006. The authorized official on file is Brandon Dean Wilde, DPM, Practitioner/Owner. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.
Overview
| NPI | 1790864619 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 2, 2006 |
| Last updated in NPPES | Mar 18, 2026 |
| Certified by provider | Mar 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | P92 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Podiatry (ID); Part B Supplier - Clinic/Group Practice (ID) |
|---|
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