Individual provider Active NPI

Jared Thomas Brown, DC

  • Chiropractor
  • Grantsville, UT
National Provider Identifier
1124673660
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11369344-1202 Issued in UT
Practice address
163 S Sr 112 Hwy Ste 107
Grantsville, UT 84029-5585
Phone
(435) 248-0603
NPI assigned
Aug 1, 2019
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11369344-1202 UT Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190924002543 UT Practitioner - Chiropractic 2961732524 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grantsville Back Pain Relief Chiropractic Chiropractor CurrentSince Jun 2, 2022 Accepting new patients
Integrated Functional Medicine CurrentSince Jul 24, 2019 Accepting new patients
Integrated Functional Medicine, LLC CurrentSince 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 D-SNP
  • UT PPO

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1124673660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 S SR 112 HWY STE 107",
            "city": "GRANTSVILLE",
            "state": "UT",
            "postal_code": "840295585",
            "telephone_number": "435-248-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 S SR 112 HWY STE 107",
            "city": "GRANTSVILLE",
            "state": "UT",
            "postal_code": "840295585",
            "telephone_number": "435-248-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JARED",
        "middle_name": "THOMAS",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-01",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "11369344-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grantsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (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.