Individual provider Active NPI

Brady Lynn Stewart, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fruitland, ID
National Provider Identifier
1508387028
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
088260 Issued in IA
Practice address
910 NW 16TH St Ste 102
Fruitland, ID 83619-2265
Phone
(208) 452-8150
Fax
(208) 452-8165
NPI assigned
Jul 6, 2017
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X P-288 ID
Foot & Ankle Surgery Podiatrist 213ES0103X 088260 IA Primary

Addresses

Primary practice location

910 NW 16TH St Ste 102
Fruitland, ID 83619-2265

Mailing address

PO Box 190930
Boise, ID 83719-0930

Other practice location 1

123 W Francis Ave
Spokane, WA 99205-6348
Phone (509) 483-9363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240802001458 ID Practitioner - Podiatry 9830460732 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Medical Center of Nampa, P.a.Group PAC ID 3870671209, 2 clinicians

Practice addresses (Care Compare)

203 12TH Ave Rd
Suite a
Nampa, ID 83686-5012
Phone (208) 466-3338

910 NW 16TH St
Fruitland, ID 83619-2265

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue57
Removal or shaving of skin growth16
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
088260IAMDFoot & Ankle Surgery Podiatrist
P-288IDMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Medical Center of Nampa, P.a. Radiology CurrentSince Aug 1, 2024 Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince Apr 1, 2026 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Apr 1, 2026 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Apr 1, 2026 Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince Apr 1, 2026 Accepting new patients
Spokane Foot Clinic, P S PastSince Oct 21, 2025 Accepting new patients

Locations

2007 N Whitley Dr
Fruitland, ID 83619
Phone (208) 452-4455

910 NW 16th St
Ste 102
Fruitland, ID 83619
Phone (208) 302-4200

203 12th Ave Rd
Nampa, ID 83686
Phone (208) 466-3338

203 12th Ave Rd
#A
Nampa, ID 83686
Phone (208) 466-3338

Interoperability endpoints

  • Direct secure messaging: brady.stewart.1@29206.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1508387028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190930",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837190930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 NW 16TH ST STE 102",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836192265",
            "telephone_number": "208-452-8150",
            "fax_number": "208-452-8165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 W Francis Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992056348",
            "country_code": "US",
            "telephone_number": "509-483-9363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "BRADY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-06",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "ID",
            "license": "P-288",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "088260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fruitland, ID

Sources for this page

Verify at the official NPI Registry.