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INTEGRATED FUNCTIONAL MEDICINE
NPI 1396682258
General Practice in Salt Lake City, UT

Active since April 30, 2026
4624 S HOLLADAY BLVD STE 202, SALT LAKE CITY, UT 84117(385) 800-5015(801) 277-6678 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Integrated Functional Medicine NPPES

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

INTEGRATED FUNCTIONAL MEDICINE (NPI 1396682258) is a healthcare organization registered as a general practice in Salt Lake City, Utah and active in the NPI registry since April 2026. The organization lists Scott Frogley, Owner, as its authorized official.

NPPES Registry Identity

NPI1396682258
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameINTEGRATED FUNCTIONAL MEDICINE
Location Address4624 S HOLLADAY BLVD STE 202Salt Lake City, UT 84117-7168
Mailing Address458 N 500 WBountiful, UT 84010-6948
Phone(385) 800-5015
Fax(801) 277-6678
Organization SubpartNo
Authorized OfficialScott FrogleyOwner · (801) 816-0332
Enumeration DateApril 30, 2026
NPPES CertifiedApril 29, 2026
✔ NPI 1396682258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X
4624 S HOLLADAY BLVD STE 202, Salt Lake City, UT 84117
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRUCE G EVANS MD PC
Orthopaedic Surgery
4624 S HOLLADAY BLVD STE 202
SALT LAKE CITY, UT 84117
Salt Lake County (801) 406-9601
PHYSICIANS MEDICAL GROUP
Radiology (Vascular & Interventional Radiology)
4624 S HOLLADAY BLVD STE 202
SALT LAKE CITY, UT 84117
Salt Lake County (385) 800-5015

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 Integrated Functional Medicine's NPI number?

The NPI number for Integrated Functional Medicine is 1396682258. It was assigned to this organization in the NPPES registry on April 30, 2026.

Where is Integrated Functional Medicine located?

Integrated Functional Medicine is located at 4624 S Holladay Blvd Ste 202, Salt Lake City, UT 84117. The listed phone number is (385) 800-5015.

What is Integrated Functional Medicine's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Integrated Functional Medicine was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.