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

Brandon Thomas Dickinson, MD

Individual provider Gastroenterology Physician · NPI 1770825713

Brandon Thomas Dickinson, MD is a Gastroenterology in Provo, Utah. Graduated from University of Virginia School of Medicine in 2013, 13 years ago. Practices with Revere Health PC, a 410-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Utah and Washington.

Years since qualifying
13
Trained at
University of Virginia School of Medicine
Licensed in
UT, WA
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1055 N 500 W Ste 100
Provo, UT 84604-3305
Phone: (801) 374-1268
Fax: (801) 812-5454
Show map & directions

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

Additional practice locations (1)

  • 1959 Ne Pacific St, Seattle, WA 98195-6421 — (206) 598-4377

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 11676583-1205 (UT)
Gastroenterology Physician Taxonomy 207RG0100X · Licence MD60587041 (WA)

Record details

NPI number1770825713
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 17, 2013
Last updated in NPPESNovember 27, 2023
Certification dateMay 29, 2020
Mailing address1055 N 500 W, Attn Credentialing, Provo, UT 84604-3305

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolUNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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