MICHAEL ALAN BROG MD
NPI 1215016027
Psychiatry & Neurology - Psychiatry in Clayton, MO

Active since November 03, 2006Opted out of Medicare · through Oct 1, 2027
225 S MERAMEC AVE, SUITE 932T, CLAYTON, MO 63105(314) 432-7545(314) 863-2114 Get Directions Write a Review

NPPES record last updated: October 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Alan Brog Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL ALAN BROG MD (NPI 1215016027) is an individual psychiatry provider in Clayton, Missouri, licensed in Missouri (MD100627) and active in the NPI registry since November 2006. He has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1215016027
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMICHAEL ALAN BROGCredential: MD
Location Address225 S MERAMEC AVE, SUITE 932TClayton, MO 63105-3511
Mailing Address225 S Meramec Ave, Suite 932tClayton, MO 63105-3511 · (314) 432-7545 · Fax (314) 863-2114
Fax(314) 863-2114
Sole ProprietorYes
Enumeration DateNovember 3, 2006
Last NPPES UpdateOctober 28, 2011
NPI 1215016027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in MO · MD100627
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
225 S MERAMEC AVE, Clayton, MO 63105

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Michael Alan Brog Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2015 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2015
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$169.38 typical visit price
range $55.65 – $169.38
Typical copayment $42.34 (range $13.91 – $42.34)
Most-billed visit code 99205
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
225 S MERAMEC AVE, SUITE 214
CLAYTON, MO 63105
Chiropractor
225 S MERAMEC AVE, STE. 306
SAINT LOUIS, MO 63105
Psychiatry & Neurology (Psychiatry)
225 S MERAMEC AVE, SUITE 721
CLAYTON, MO 63105
Social Worker (Clinical)
225 S MERAMEC AVE, SUITE 404
SAINT LOUIS, MO 63105
Psychologist
225 S MERAMEC AVE, SUITE 202
CLAYTON, MO 63105
Counselor (Mental Health)
225 S MERAMEC AVE, SUITE 404
SAINT LOUIS, MO 63105
Psychologist
225 S MERAMEC AVE, SUITE 202
CLAYTON, MO 63105
Dentist (General Practice)
225 S MERAMEC AVE, SUITE 311
SAINT LOUIS, MO 63105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Brog's NPI number?

The NPI number for Michael Brog is 1215016027. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Michael Brog located?

Michael Brog practices at 225 S Meramec Ave Suite 932T, Clayton, MO 63105. The listed phone number is (314) 432-7545.

What is Michael Brog's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Michael Brog enrolled in Medicare?

No. Michael Brog has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Michael Brog was last updated on October 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.