PROVO SPORTS AND FAMILY CHIROPRACTIC, INC.
NPI 1003088402
Chiropractor - Sports Physician in Provo, UT

Q: What is Provo Sports And Family Chiropractic, Inc.'s specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Active since March 26, 2008

777 N 500 W STE 205, PROVO, UT 84601(801) 375-2420(801) 374-8588 Get Directions Write a Review

NPPES record last updated: March 28, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Provo Sports And Family Chiropractic, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVO SPORTS AND FAMILY CHIROPRACTIC, INC. (NPI 1003088402) is a healthcare organization registered as a sports physician in Provo, Utah and active in the NPI registry since March 2008. The organization lists Eric J Brady, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1003088402

Entity TypeOrganization

Primary Taxonomy111NS0005X

Legal Business NamePROVO SPORTS AND FAMILY CHIROPRACTIC, INC.

Location Address777 N 500 W STE 205Provo, UT 84601-1596

Mailing Address777 N 500 W Ste 205Provo, UT 84601-1596 · (801) 375-2420 · Fax (801) 374-8588

Phone(801) 375-2420

Fax(801) 374-8588

Organization SubpartNo

Authorized OfficialEric J BradyChiropractor · (801) 375-2420

Enumeration DateMarch 26, 2008

Last NPPES UpdateMarch 28, 2008

✔ NPI 1003088402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

License✔ Licensed in UT · 355063-1202

Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

777 N 500 W STE 205, Provo, UT 84601

Open in Google Maps ↗

Other Identifiers 1

Medicare UPINU6911UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Provo Sports And Family Chiropractic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Provo Sports And Family Chiropractic, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Eric Brady, D.C.

Chiropractic

NPI 1306934393

777 N 500 W SUITE 205
Provo, UT 84601

(801) 375-2420

✔ Accepts MedicareSame address

Austin Blanchard

Nurse Practitioner

NPI 1144816661

395 W COUGAR BLVD
Provo, UT 84604

(801) 357-4600

✔ PECOS✔ Accepts Medicare0.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Provo Sports And Family Chiropractic, Inc.'s NPI number?

The NPI number for Provo Sports And Family Chiropractic, Inc. is 1003088402. It was assigned to this organization in the NPPES registry on March 26, 2008.

Where is Provo Sports And Family Chiropractic, Inc. located?

Provo Sports And Family Chiropractic, Inc. is located at 777 N 500 W Ste 205, Provo, UT 84601. The listed phone number is (801) 375-2420.

What is Provo Sports And Family Chiropractic, Inc.'s specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Provo Sports And Family Chiropractic, Inc. enrolled in Medicare?

Yes. Provo Sports And Family Chiropractic, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Provo Sports And Family Chiropractic, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Provo Sports And Family Chiropractic, Inc., in Chiropractic and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Provo Sports And Family Chiropractic, Inc. accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Provo Sports And Family Chiropractic, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Provo Sports And Family Chiropractic, Inc. was last updated on March 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.