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

Dr. David B Randall, DPM

Individual provider Podiatrist · NPI 1710976535

Dr. David B Randall, DPM is a Podiatry in Provo, Utah. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 2000, 26 years ago. Practices with Ellsworth Foot and Ankle Clinic, a 6-clinician group and accepts Medicare assignment. Licensed in Alaska, Oklahoma and Utah.

Years since qualifying
26
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
AK, OK, UT
In the registry since
2005
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

3355 N University Ave Ste 175
Provo, UT 84604-6620
Phone: (801) 253-6886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 13928903-0501 (UT)
Podiatrist Taxonomy 213E00000X · Licence 246 (OK)
Podiatrist Taxonomy 213E00000X · Licence 7269 (AK)

Record details

NPI number1710976535
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedOctober 14, 2005
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024
Mailing address9980 S 300 W Ste 300, Sandy, UT 84070-3654

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 2000 (26 years in practice)
Group practice Ellsworth Foot And Ankle Clinic — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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