DR. BRADY LYNN STEWART (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1508387028

DR. BRADY LYNN STEWART (DPM) is a healthcare provider. based in Boise, Idaho. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. P-288 (ID). The NPI Number for DR. BRADY LYNN STEWART (DPM) is 1508387028

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRADY LYNN STEWART (DPM)
NPI
1508387028
Phone
Not provided
Address
PO BOX 190930
Enumeration Date
6 July 2017
Last Update Date
3 March 2026

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
2084663338
Graduation Year
2017 (9 years ago)
PAC ID
9830460732
Group Practice PAC ID
3870671209
Professional Enrollment ID
I20240802001458
Address ID
ID836865012NA203XXRDXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:8State licenses:2Digital endpointsOther names

360 PODIATRY in WA

Provider Addresses for DR. BRADY LYNN STEWART (DPM)

  • PO BOX 190930

    BOISE, ID 837190930

    Phone:

    Type: Mailing

  • 123 W FRANCIS AVE

    SPOKANE, WA 992056348

    Phone: (509) 483-9363

    Type: Location

  • MercyOne Waterloo Medical Center, 3421, West 9th Street, Waterloo, Black Hawk County, Iowa, 50702, United States

    WATERLOO, IA 507025401

    Phone: (319) 272-0284

    Type: Location

  • 123 W Francis Ave

    Spokane, WA 992056348

    Phone: (509) 483-9363

    Type: Location

  • 101, West Francis Avenue, Spokane, Spokane County, Washington, 99205, United States

    SPOKANE, WA 992056348

    Phone:

    Type: Mailing

  • 910 NW 16TH ST STE 102

    FRUITLAND, ID 836192265

    Phone: (208) 452-8150

    Fax: (208) 452-8165

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-01-06 • Largest payer in this snapshot: Summit Surgical Corp. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Summit Surgical Corp.$17
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240802001458IPodiatryIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes295176$0
73630X-ray of foot, minimum of 3 views140104$0
99203New patient office or other outpatient visit, 30-44 minutes125125$0
99214Established patient office or other outpatient visit, 30-39 minutes6236$0
11042Removal of skin and tissue, 20.0 sq cm or less5620$0
View full utilization report →

Insurance plans in this area (ZIP 83719)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870671209View full group profile
NameSpecialtyState
P O D I A T R YID

Reviews

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Frequently asked questions

What number should I use to identify DR. BRADY LYNN STEWART (DPM) for billing?
Administrative and clinical systems typically use NPI 1508387028 for DR. BRADY LYNN STEWART (DPM).
Is DR. BRADY LYNN STEWART (DPM) currently accepting referrals based on NPI status?
Registry metadata lists DR. BRADY LYNN STEWART (DPM) as active.
Which specialty label fits DR. BRADY LYNN STEWART (DPM)?
NPPES ties DR. BRADY LYNN STEWART (DPM) to Foot & Ankle Surgery Podiatrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit DR. BRADY LYNN STEWART (DPM) in Boise, Idaho?
For routing, start with Boise, Idaho for DR. BRADY LYNN STEWART (DPM), then verify phone and hours locally.
Why is information missing for DR. BRADY LYNN STEWART (DPM)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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