| Integrated Functional Medicine | |
|
458 N 500 W Bountiful UT 84010-6948 | |
| (801) 292-9355 | |
| (801) 296-8050 |
| Full Name | Integrated Functional Medicine |
|---|---|
| Speciality | General Practice |
| Location | 458 N 500 W, Bountiful, Utah |
| Authorized Official Name and Position | Cory Frogley (OWNER) |
| Authorized Official Contact | 8012929355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Functional Medicine 458 N 500 W Bountiful UT 84010-6948 Ph: (801) 292-9355 | Integrated Functional Medicine 458 N 500 W Bountiful UT 84010-6948 Ph: (801) 292-9355 |
| NPI Number | 1629407697 |
|---|---|
| Provider Enumeration Date | 11/11/2013 |
| Last Update Date | 11/11/2013 |
| Medicare PECOS PAC ID | 4789814351 |
|---|---|
| Medicare Enrollment ID | O20140226001532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629407697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Robert Ned Mcarthur |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1316156920 PECOS PAC ID: 9436054350 Enrollment ID: I20031204000315 |
| Provider Name | Kristina Michelle Reed |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1407057953 PECOS PAC ID: 8426158320 Enrollment ID: I20070706000297 |
| Provider Name | Kirk R Wersland |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1558353979 PECOS PAC ID: 8022049907 Enrollment ID: I20080409000660 |
| Provider Name | Angela L Salerno |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538423058 PECOS PAC ID: 7012168958 Enrollment ID: I20121127000189 |
| Provider Name | Caleb J Lorenc |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801140900 PECOS PAC ID: 6507004439 Enrollment ID: I20130604000535 |
| Provider Name | Brittaney L Cahoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609226091 PECOS PAC ID: 4082994280 Enrollment ID: I20161205002111 |
| Provider Name | Bradley J Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528328705 PECOS PAC ID: 4486700937 Enrollment ID: I20190125001067 |
| Provider Name | Jared Thomas Brown |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1124673660 PECOS PAC ID: 2961732524 Enrollment ID: I20190924002543 |
| Provider Name | Laura Prater Geoghegan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932501624 PECOS PAC ID: 9537482211 Enrollment ID: I20210802001063 |
| Provider Name | Becky Jo Barnett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932557287 PECOS PAC ID: 4385042761 Enrollment ID: I20211015001078 |
| Provider Name | Colby Dion Brink |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1366081689 PECOS PAC ID: 6709273295 Enrollment ID: I20220502002201 |
| Provider Name | Bradley John Pyne |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952685802 PECOS PAC ID: 9638475882 Enrollment ID: I20220504000950 |
| Provider Name | Diane Hagen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437281508 PECOS PAC ID: 9032574041 Enrollment ID: I20230426002282 |
| Provider Name | Dylan Despain |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1730969304 PECOS PAC ID: 2466807011 Enrollment ID: I20231017001783 |
Bryan Bartholomew Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 520 Medical Dr, Suite 200, Bountiful, UT 84010 Phone: 801-294-9333 Fax: 801-299-7811 | |
Eln Enterprises Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1480 Orchard Dr Ste 103, Bountiful, UT 84010 Phone: 866-612-7449 | |
Holbrook Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 485 E 500 S, Bountiful, UT 84010 Phone: 801-299-4800 | |
Joe R Nielsen Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 415 Medical Dr, D-200, Bountiful, UT 84010 Phone: 801-292-6277 Fax: 801-292-1108 | |
Bountiful Family Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 65 W 400 N Ste 200b, Bountiful, UT 84010 Phone: 801-298-3812 Fax: 877-450-7813 | |
Wade Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Medical Dr Ste 300, Bountiful, UT 84010 Phone: 801-292-1422 Fax: 801-296-0436 | |
Aspen Physician Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1217 E 1650 S, Bountiful, UT 84010 Phone: 801-997-1276 |