OrganizationActive
Integrated Functional Medicine
NPI 1629407697 · General Practice Physician · Bountiful, UT
Provider details
- NPI number
- 1629407697
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cory Frogley, Owner(801) 292-9355
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
458 N 500 W
Bountiful, UT 84010-6948
Phone: (801) 292-9355
Fax: (801) 296-8050
Street-level locationGet directions
Mailing address
458 N 500 W
Bountiful, UT 84010-6948
Registry dates
- Enumerated
- 2013-11-11
- Last updated
- 2013-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.