NPIMap

Organization Active NPI

Integrated Functional Medicine

  • General Practice Physician
  • Salt Lake City, UT
National Provider Identifier
1396682258
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
INTEGRATED FUNCTIONAL MEDICINE
Practice address
4624 S Holladay Blvd Ste 202
Salt Lake City, UT 84117-7168
Phone
(385) 800-5015
Fax
(801) 277-6678
NPI assigned
Apr 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Scott Frogley, DC
Title
Owner
Phone
(801) 816-0332

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

4624 S Holladay Blvd Ste 202
Salt Lake City, UT 84117-7168

Mailing address

458 N 500 W
Bountiful, UT 84010-6948

National Provider Directory

National Provider Directory
Tax ID family
Integrated Functional Med4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1777507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1396682258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 N 500 W",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 S HOLLADAY BLVD STE 202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841177168",
            "telephone_number": "385-800-5015",
            "fax_number": "801-277-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED FUNCTIONAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "FROGLEY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-816-0332",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.