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

Dr. Bryce Donald Haslem, MD

Individual provider Family Medicine Physician · NPI 1124286133

Dr. Bryce Donald Haslem, MD is a Gastroenterology in Provo, Utah. Graduated from Saint Louis University School of Medicine in 2008, 18 years ago. Practices with Revere Health PC, a 410-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Iowa and Utah.

Years since qualifying
18
Trained at
Saint Louis University School of Medicine
Licensed in
IA, UT
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

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.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 9016684-1205 (UT)
Family Medicine Physician Taxonomy 207Q00000X · Licence 39640 (IA)
Internal Medicine Physician Taxonomy 207R00000X · Licence R-8339 (IA)

Record details

NPI number1124286133
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 27, 2008
Last updated in NPPESNovember 27, 2023
Certification dateApril 14, 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
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2008 (18 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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