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

Dr. Travis Brandon Charles, DO

Individual provider Family Medicine Physician · NPI 1255643136

Dr. Travis Brandon Charles, DO is a Family Practice in Salem, Utah. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2010, 16 years ago. Practices with Revere Health PC, a 410-clinician group and accepts Medicare assignment. Licensed in Arizona, Missouri and Utah.

Years since qualifying
16
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
AZ, MO, UT
In the registry since
2010
Specialties on file
3
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.

See every abbreviation used in this directory →

Practice location Address checks out

555 W Sr 164
Salem, UT 84653
Phone: (385) 265-6050
Fax: (801) 465-3287
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 12403966-1204 (UT)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2010021663 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 006233 (AZ)

Record details

NPI number1255643136
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 8, 2010
Last updated in NPPESSeptember 15, 2021
Certification dateSeptember 15, 2021
Mailing address1055 N. 500 W Attn: Credentialing, Provo, UT 84604

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2010 (16 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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