IndividualActive
Brady Stewart, DPM
NPI 1508387028 · Foot & Ankle Surgery Podiatrist · Fruitland, ID
Provider details
- NPI number
- 1508387028
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- P-288 (ID)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
910 Nw 16th St Ste 102
Fruitland, ID 83619-2265
Phone: (208) 452-8150
Fax: (208) 452-8165
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 190930
Boise, ID 83719-0930
Additional practice locations (1)
- 123 W Francis AveSpokane, WA 99205-6348Phone: (509) 483-9363
Registry dates
- Enumerated
- 2017-07-06
- Last updated
- 2026-03-03
- Certified
- 2026-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.