OrganizationActive
Spine & Sports Medicine
NPI 1558588475 · Pain Medicine Physician · West Valley City, UT
Provider details
- NPI number
- 1558588475
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Bova, President(801) 261-1946
- License
- 1856991205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3336 Pioneer Pkwy
#204
West Valley City, UT 84120-2000
Phone: (801) 261-1946
Fax: (801) 264-1138
Street-level locationGet directions
Mailing address
1250 E 3900 S
Slc, UT 84124-1348
Registry dates
- Enumerated
- 2007-04-20
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.