Dr. Travis Brandon Charles, D.O.
Family Medicine in Salem, UT. Individual provider (NPI-1).
NPI number1255643136
StatusActive
Last updated in NPPESSep 15, 2021
Details
- NPI
- 1255643136
- Entity type
- Individual (NPI-1)
- Name
- Dr. Travis Brandon Charles
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2010
- Certification date
- Sep 15, 2021
- Last updated
- Sep 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 12403966-1204 | UT | Yes |
| 207Q00000X | Family Medicine | 2010021663 | MO | |
| 207Q00000X | Family Medicine | 006233 | AZ |
Practice location
555 W Sr 164Salem, UT 84653
Phone 385-265-6050 · Fax 801-465-3287
Mailing address
1055 N. 500 W Attn: CredentialingProvo, UT 84604
Phone 801-354-8225 · Fax 801-418-0941
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Family Medicine Physician providers in Salem, UT
- Canyon View Medical Group LLCNPI 1225739857
- Jarrett Hammer, DONPI 1417152026
- Alma Iyon Soud, MDNPI 1326785254
- Jonathan Shumway, DONPI 1982108650
- Gale J. Skousen, M.D.NPI 1053305391
- David Tipton, M.D.NPI 1811915051
- John Edward Teddy Witbeck, MDNPI 1972522316
All 8 Family Medicine Physician providers in Salem · All 177 providers in Salem
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.