NPI age
18 years
Enumerated 2008-05-22
● Active
Type 1 · Individual
Charles M Reynolds, M.D.
Reynolds is 1 of 109 emergency medicine providers in Boise and 1 of 336 in Idaho.
Primary specialty
Emergency Medicine
Plus 4 subspecialties
Licensed in
OR, NM, CO, ID, CA
5 states
Status
Active
No deactivations on record
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 336 active emergency medicine providers in Idaho.
NPI age
18 years
≈ at median (18 yr)
State licenses
5 states
Top 59% — 40% of peers are multi-state
Subspecialties
0
51% of peers hold subspecialties
NPI lifetime · 2008 → 2026
2008-05Enumerated in NPPES
2008
2026
Where they practice
Practice location
1055 N Curtis Rd
Boise, ID 837061309
Mailing address
2100 Powell St, Ste 900
Emeryville, CA 946081844
Specialties
-
Emergency Medicine PrimaryAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (CO) | 022498 | KAISER COMMERCIAL NUMBER |
| 05 (CO) | 22057242 |
Multi-state credentialing: Licensed in 5 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 378 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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