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SPORTS MEDICINE SPECIALISTS, LLC
NPI 1942259197
Family Medicine - Sports Medicine in Bountiful, UT

Active since May 07, 2006
425 MEDICAL DR, SUITE # 220, BOUNTIFUL, UT 84010(801) 735-8826 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Sports Medicine Specialists, Llc NPPES

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

SPORTS MEDICINE SPECIALISTS, LLC (NPI 1942259197) is a healthcare organization registered as a sports medicine in Bountiful, Utah and active in the NPI registry since May 2006. The organization lists Benjamin B Betteridge, Manager, as its authorized official.

NPPES Registry Identity

NPI1942259197
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameSPORTS MEDICINE SPECIALISTS, LLC
Location Address425 MEDICAL DR, SUITE # 220Bountiful, UT 84010-4945
Mailing Address425 Medical Dr, Suite # 220Bountiful, UT 84010-4945 · (801) 735-8826
Phone(801) 735-8826
Organization SubpartNo
Authorized OfficialBenjamin B BetteridgeManager · (253) 227-5208
Enumeration DateMay 7, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1942259197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in UT · 58953691205
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedEmergency Medicine · Sports MedicineTaxonomy 207PS0010X · License 2948311205 (UT)

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 20

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

LOUIS S. NAEGLE, LCSW, P.C.
Marriage & Family Therapist
425 MEDICAL DR, SUITE 212
BOUNTIFUL, UT 84010
Davis County (801) 298-3442
RODNEY M. JEX DPM
Podiatrist (Foot & Ankle Surgery)
425 MEDICAL DR, STE 215
BOUNTIFUL, UT 84010
Davis County (801) 292-9222
MARLIN M FORSYTH
Physical Therapist
425 MEDICAL DR, SUITE 104
BOUNTIFUL, UT 84010
Davis County (801) 292-5011
ALLAN C EDSON, D.O., PC
Internal Medicine
425 MEDICAL DR, SUITE 207
BOUNTIFUL, UT 84010
Davis County (801) 294-5224
WELLSPRINGS LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
425 MEDICAL DR
BOUNTIFUL, UT 84010
Davis County (801) 992-3479
HEIDI ALEXANDRIA BISHOP LCSW
Social Worker (Clinical)
425 MEDICAL DR, SUITE 218
BOUNTIFUL, UT 84010
Davis County (801) 979-2756
RUSSELL B SHIELDS MD PC
Family Medicine
425 MEDICAL DR, STE 108
BOUNTIFUL, UT 84010
Davis County (801) 292-8444
MASTER OPTICIANS
Durable Medical Equipment & Medical Supplies
425 MEDICAL DR, SUITE 219
BOUNTIFUL, UT 84010
Davis County (801) 298-2309

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 Sports Medicine Specialists, LLC's NPI number?

The NPI number for Sports Medicine Specialists, LLC is 1942259197. It was assigned to this organization in the NPPES registry on May 7, 2006.

Where is Sports Medicine Specialists, LLC located?

Sports Medicine Specialists, LLC is located at 425 Medical Dr Suite # 220, Bountiful, UT 84010. The listed phone number is (801) 735-8826.

What is Sports Medicine Specialists, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

When was this NPI record last updated?

The NPPES record for Sports Medicine Specialists, LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.