INTEGRATED FUNCTIONAL MEDICINE
NPI 1629407697
General Practice in Bountiful, UT
About Integrated Functional Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTEGRATED FUNCTIONAL MEDICINE (NPI 1629407697) is a healthcare organization registered as a general practice in Bountiful, Utah and active in the NPI registry since November 2013. The organization lists Cory Frogley, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted 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)
Integrated Functional Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
21Medicare enrollment records show 21 clinicians reassign Medicare billing to Integrated Functional Medicine, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 21Source: 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 Integrated Functional Medicine's NPI number?
The NPI number for Integrated Functional Medicine is 1629407697. It was assigned to this organization in the NPPES registry on November 11, 2013.
Where is Integrated Functional Medicine located?
Integrated Functional Medicine is located at 458 N 500 W, Bountiful, UT 84010. The listed phone number is (801) 292-9355.
What is Integrated Functional Medicine's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Integrated Functional Medicine enrolled in Medicare?
Yes. Integrated Functional Medicine is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Integrated Functional Medicine?
According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 7 Medicare specialties reassign their Medicare billing to Integrated Functional Medicine. 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. The largest specialties are Chiropractic (7), Physical Therapist in Private Practice (5) and Physical Medicine and Rehabilitation (3). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Integrated Functional Medicine accept?
Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Integrated Functional Medicine 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 Integrated Functional Medicine was last updated on November 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Integrated Functional Medicine · NPI 1629407697
General Practice organization in Bountiful, Utah. Organization record, active in the CMS NPPES registry since November 11, 2013.
## Identity
- **NPI:** 1629407697 (Entity type: Organization)
- **Enumerated:** November 11, 2013
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Cory Frogley, OWNER
## Practice location
- **Address:** 458 N 500 W, Bountiful, UT 84010-6948
- **Phone:** (801) 292-9355 · **Fax:** (801) 296-8050
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 21 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Chiropractic (7), Physical Therapist in Private Practice (5), Physical Medicine and Rehabilitation (3); 3 practice within 10 miles; [full list](https://npiprofile.com/npi/1629407697/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 11, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1629407697) · Data from the CMS NPPES public registry.