Integrated Functional Medicine
Integrated Functional Medicine is a healthcare organization registered as General Practice Physician in Bountiful, UT, holding Type 2 (organization) NPI 1629407697 since 2013. The authorized official on file is Cory Frogley, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1629407697 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Integrated Functional Medicine |
| Practice address | 458 N 500 W, Bountiful, UT, 84010 |
| Phone | 8012929355 |
| Fax | 8012968050 |
| Enumeration date | 2013-11-11 |
| Last updated in NPPES | 2013-11-11 |
Authorized official
| Name | Cory Frogley |
|---|---|
| Title | Owner |
| Phone | 8012929355 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208D00000X | General Practice Physician | Primary | — | — |
Copy-ready billing details
Provider: Integrated Functional Medicine NPI: 1629407697 Taxonomy: 208D00000X (General Practice Physician) Address: 458 N 500 W, Bountiful, UT, 84010
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1568423564 | Brett Earl | Individual | General Practice Physician | Bountiful, UT |
| 1033168372 | Cory Frogley | Individual | Chiropractor | Bountiful, UT |
| 1487935045 | Steven White | Individual | Physician Assistant | Bountiful, UT |
| 1366795502 | Integrated Wellness Group LLC | Organization | Chiropractor | Bountiful, UT |
| 1598005647 | Travis Castillon | Individual | Chiropractor | Bountiful, UT |
| 1932501624 | Laura Prater Geoghegan | Individual | Family Nurse Practitioner | Bountiful, UT |
| 1104296623 | Lauren Lightfield | Individual | Acute Care Nurse Practitioner | Bountiful, UT |
| 1073061974 | Judd Gines | Individual | Chiropractor | Bountiful, UT |
Verify this record
Cross-check NPI 1629407697 against the authoritative CMS record: view Integrated Functional Medicine on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Integrated Functional Medicine?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-11-11.