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

Individual provider Internal Medicine Physician · NPI 1023646635

Dr. Charles W. Cubberley, MD is a Rheumatology in Salt Lake City, Utah. Qualified in 2020, 6 years ago. Practices with The Vancouver Clinic Inc Ps, a 580-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
6
Licensed in
UT
In the registry since
2020
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

30 N 1900 E Rm 4C116
Salt Lake City, UT 84132-0002
Phone: (801) 585-3580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 12451675-1205 (UT)

Record details

NPI number1023646635
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2020
Last updated in NPPESSeptember 16, 2021
Certification dateSeptember 16, 2021

Medicare enrollment

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

Medicare specialtyRHEUMATOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice The Vancouver Clinic Inc Ps — 580 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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