Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derek Garn Rodeback, DO

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1053751032

Derek Garn Rodeback, DO is a Physical Medicine and Rehabilitation in Bountiful, Utah. Graduated from West Virginia School of Osteopathic Medicine in 2013, 13 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Colorado and Utah.

Years since qualifying
13
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
CO, UT
In the registry since
2013
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1818 Mueller Park Rd
Bountiful, UT 84010-1105
Phone: (453) 414-9858
Show map & directions

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

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence 12005709-1204 (UT)
Sports Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081S0010X · Licence DR.0061855 (CO)

Record details

NPI number1053751032
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 5, 2013
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025
Mailing addressPo Box 27128, Salt Lake City, UT 84127-0128

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Also practisesOSTEOPATHIC MANIPULATIVE MEDICINE
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2013 (13 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bountiful