Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Trevor Glade Wilde, DO

Individual provider Family Medicine Physician · NPI 1538422019

Dr. Trevor Glade Wilde, DO is a Family Practice in Saint Anthony, Idaho. Graduated from At Still University, Arizona School of Dentistry & Oral Hlth in 2012, 14 years ago. Practices with Upper Valley Community Health Services Inc, a 30-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
14
Trained at
At Still University, Arizona School of Dentistry & Oral Hlth
Licensed in
ID
In the registry since
2012
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

335 E Main St Ste 1
Saint Anthony, ID 83445-1546
Phone: (208) 356-4900
Fax: (208) 624-4116
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 72 S 1st E Ste 101, Rexburg, ID 83440-1965 — (208) 356-4900

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence O-0776 (ID)

Record details

NPI number1538422019
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 20, 2012
Last updated in NPPESAugust 16, 2024
Certification dateAugust 16, 2024
Mailing addressPo Box 18, Saint Anthony, ID 83445-0018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolAT STILL UNIVERSITY, ARIZONA SCHOOL OF DENTISTRY & ORAL HLTH
Graduated 2012 (14 years in practice)
Group practice Upper Valley Community Health Services Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount