IndividualActive
Cory Brown, D.P.M.
NPI 1154662948 · Foot & Ankle Surgery Podiatrist · Lewiston, ID
Provider details
- NPI number
- 1154662948
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- Yes
- License
- P-222 (ID)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
1630 23rd Ave
Suite 1001
Lewiston, ID 83501-6350
Phone: (208) 553-4780
Approximate (ZIP-level) locationGet directions
Mailing address
1630 23rd Ave
Lewiston, ID 83501-6350
Additional practice locations (1)
- 700 S Main StMoscow, ID 83843-3046Phone: (208) 882-4511Fax: (208) 883-6580
Registry dates
- Enumerated
- 2013-03-05
- Last updated
- 2025-09-12
- Certified
- 2025-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.