Integrated Functional Medicine
NPI 1629407697ActiveOrganization· General Practice· Bountiful, UT
General Practice in Bountiful, Utah, registered in NPPES in November 2013. The authorized official on file is Cory Frogley, Owner. Enrolled in Medicare as dme supplier - medical supply company with orthotic-prosthetic and part b supplier - clinic/group practice.
Overview
| NPI | 1629407697 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 11, 2013 |
| Last updated in NPPES | Nov 11, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Medical Supply Company With Orthotic-Prosthetic (UT); Part B Supplier - Clinic/Group Practice (UT) |
|---|
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