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

Travis Reed Moulton, DO

Individual provider Family Medicine Physician · NPI 1760744403

Travis Reed Moulton, DO is a Family Practice in Caldwell, Idaho. Qualified in 2012, 14 years ago. Practices with West Valley Medical Group LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
14
Licensed in
ID
In the registry since
2012
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

1906 Fairview Ave Ste 230
Caldwell, ID 83605-5407
Phone: (208) 459-4667
Fax: (208) 442-6520
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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-0765 (ID)

Record details

NPI number1760744403
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 8, 2012
Last updated in NPPESJanuary 26, 2022
Certification dateNovember 27, 2020
Mailing addressPo Box 277976, Atlanta, GA 30384-7976

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice West Valley Medical Group Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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