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

Charles M Reynolds, MD

Individual provider Emergency Medicine Physician · NPI 1073770400

Charles M Reynolds, MD is an Emergency Medicine in Boise, Idaho. Qualified in 2008, 18 years ago. Practices with Cep America LLC, a 985-clinician group and accepts Medicare assignment. Licensed in California, Colorado, Idaho and New Mexico and 1 more.

Years since qualifying
18
Licensed in
CA, CO, ID, NM, OR
In the registry since
2008
Specialties on file
5
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 Curtis Rd
Boise, ID 83706-1309
Phone: (208) 367-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD178898 (OR)
Emergency Medicine Physician Taxonomy 207P00000X · Licence MD2012-0479 (NM)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 50485 (CO)
Emergency Medicine Physician Taxonomy 207P00000X · Licence M-12317 (ID)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 148073 (CA)

Record details

NPI number1073770400
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 22, 2008
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Cep America Llc — 985 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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