Valley Foot & Ankle, PC
NPI 1790864619 · Podiatrist · Pocatello, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Valley Foot & Ankle, PC is a Podiatrist organization in Pocatello, ID (NPI 1790864619).
Provider details
- NPI number
- 1790864619
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Brandon Wilde, Practitioner/Owner(208) 232-0006
- License
- P92 (ID)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 10 S 1st W Ste BPreston, ID 83263-1244Phone: (208) 232-0006Fax: (208) 233-8771
Registry dates
- Enumerated
- 2006-11-02
- Last updated
- 2026-03-18
- Certified
- 2026-03-18
Frequently asked questions
- What is Valley Foot & Ankle, PC's NPI number?
- Valley Foot & Ankle, PC's National Provider Identifier (NPI) is 1790864619, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Valley Foot & Ankle, PC?
- Valley Foot & Ankle, PC is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Valley Foot & Ankle, PC located?
- Valley Foot & Ankle, PC's practice location on file with NPPES is 1455 Bench Rd, Pocatello, ID 83201.
- What is Valley Foot & Ankle, PC's phone number?
- The practice phone number listed in the NPPES registry for Valley Foot & Ankle, PC is (208) 232-0006.
- Does Valley Foot & Ankle, PC accept Medicare?
- Valley Foot & Ankle, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Valley Foot & Ankle, PC?
- The authorized official listed on Valley Foot & Ankle, PC's NPPES record is Brandon Wilde, Practitioner/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Valley Foot & Ankle, PC's NPI active?
- Yes — Valley Foot & Ankle, PC's NPI (1790864619) is active in the NPPES registry as of the last update on 2026-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.