NPI 1407169865
Brandon D Wilde, DPM
Practice location
- Address
- 1455 Bench Rd STE B, Pocatello, ID 83201-5084
- Phone
- (208) 232-0006
- Fax
- (208) 233-8771
- Mailing address
- 1455 Bench Rd Suite B, Pocatello, ID 83201-5083
Registered specialties
Foot & Ankle Surgery Podiatrist
Primary
Registry record
- NPI
- 1407169865
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 14 Jul 2010
- Record last updated
- 5 Mar 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.