Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Sports Medicine Specialists, LLC

Organization Sports Medicine (Emergency Medicine) Physician · NPI 1942259197

Sports Medicine Specialists, LLC provides Sports Medicine (Emergency Medicine) Physician services in Bountiful, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

425 Medical Dr Ste # 220
Bountiful, UT 84010-4945
Phone: (801) 735-8826
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 58953691205 (UT)
Sports Medicine (Emergency Medicine) Physician Taxonomy 207PS0010X · Licence 2948311205 (UT)

Record details

NPI number1942259197
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin Betteridge — Manager · (253) 227-5208
NPI enumeratedMay 7, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address425 Medical Dr, Suite # 220, Bountiful, UT 84010-4945