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SPORTS MEDICINE SPECIALISTS LLC NPI 1942259197


NPI Information

NPI: 1942259197
Provider Name: SPORTS MEDICINE SPECIALISTS, LLC
Classification: Emergency Medicine - 207PS0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
425 MEDICAL DR
SUITE # 220
BOUNTIFUL, UT
ZIP 84010
Phone: (801) 735-8826
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SPORTS MEDICINE SPECIALISTS, LLC is a sports medicine emergency medicine in Bountiful, UT. The provider is an emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine. SPORTS MEDICINE SPECIALISTS, LLC NPI is 1942259197. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

425 MEDICAL DR
SUITE # 220
BOUNTIFUL, UT
ZIP 84010-945
Phone: (801) 735-8826

The provider's authorized official is Benjamin B Betteridge .
The authorized official title is Manager and has the following contact phone number (253) 227-5208.

The enumeration date for this NPI number is 5/7/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207PS0010XEmergency MedicineSports Medicine2948311205UTAHYes
2207QS0010XFamily MedicineSports Medicine58953691205UTAHX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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