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

Dr. Charles Michael Davis, DO

Individual provider Family Medicine Physician · NPI 1104877364

Dr. Charles Michael Davis, DO is a Family Medicine Physician in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

500 W Fort St
Boise, ID 83702-4501
Phone: (208) 422-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence O--0448 (ID)

Record details

NPI number1104877364
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 13, 2006
Last updated in NPPESFebruary 25, 2022
Certification dateFebruary 25, 2022
Mailing address500 W. Fort St., 111, Boise, ID 83702

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