Jared Thomas Brown, DC – Chiropractor

Key facts

NPI: 1124673660
Entity type: Individual (NPI type 1)
Primary specialty: Chiropractor 111N00000X
License: 11369344-1202 (UT)
Practice address: 163 S Sr 112 Hwy Ste 107
Grantsville, UT 84029-5585
Phone: (435) 248-0603
NPI assigned: Aug 1, 2019
Sex: Male
Sole proprietor: Yes

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Grantsville Back Pain Relief Chiropractic Chiropractor · Grantsville, UT · NPI 1538802798

Medicare reassignment NPD CHIROPRACTOR · UT
Integrated Functional Medicine General Practice Physician · Bountiful, UT · NPI 1629407697

Medicare reassignment NPD UT
Integrated Functional Medicine, LLC Interventional Pain Medicine Physician · Salt Lake City, UT · NPI 1780451864

NPD

Medicare Care Compare profile

Specialty: Chiropractic
Education: Palmer College Chiropractic - Davenport, 2019
Medicare assignment: Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

163 S Sr 112 Hwy
Suite 107
Grantsville, UT 84029-5520
Phone (435) 248-0603

Medicare participation

Medicare fee-for-service enrollment: Enrolled in UT

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20190924002543	UT	Practitioner - Chiropractic	2961732524	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
11369344-1202	UT	MD	Chiropractor

Practice roles (3 of 5)

Organization	Specialty	Status	New patients
Grantsville Back Pain Relief Chiropractic	Chiropractor	Current since Jun 2, 2022	Accepting new patients
Integrated Functional Medicine		Current since Jul 24, 2019	Accepting new patients
Integrated Functional Medicine, LLC		Current since Jul 24, 2019	Accepting new patients

Locations

458 N 500 W
Bountiful, UT 84010
Phone (801) 292-9355

163 S SR 112 Hwy
Ste 107
Grantsville, UT 84029
Phone (435) 248-0603

Networks

UT PPO
UT PPO D-SNP

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor	111N00000X	11369344-1202	UT	Yes

Addresses

Primary practice location

163 S Sr 112 Hwy Ste 107
Grantsville, UT 84029-5585

Mailing address

163 S Sr 112 Hwy Ste 107
Grantsville, UT 84029-5585
Phone (435) 248-0603

Other providers in Grantsville, UT

All providers in Grantsville, UT · Chiropractor in Utah

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.