OrganizationActive
Sports Medicine Specialists, LLC
NPI 1942259197 · Sports Medicine (Family Medicine) Physician · Bountiful, UT
Provider details
- NPI number
- 1942259197
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Benjamin Betteridge, Manager(253) 227-5208
- License
- 2948311205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
425 Medical Dr
Suite # 220
Bountiful, UT 84010-4945
Phone: (801) 735-8826
Street-level locationGet directions
Mailing address
425 Medical Dr
Bountiful, UT 84010-4945
Registry dates
- Enumerated
- 2006-05-07
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.