Active NPI
Robert Bradley Michaels, M.D.
- Family Medicine Physician
- Eureka, MO
National Provider Identifier
1992735237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2006004440
- Practice address
- 20 The Legends Pkwy
Eureka, MO 63025-3801 - Phone
- (636) 938-3399
- Fax
- (636) 938-9609
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2006004440 | MO | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
20 The Legends Pkwy
Eureka, MO 63025-3801
Mailing address
20 The Legends Pkwy
Eureka, MO 63025-3801
Phone (636) 938-3399
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00657168 | Other | MO | RAILROAD MEDICARE |
| 1992735237 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Cincinnati College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 The Legends Pkwy
Eureka, MO 63025-3823
Phone (636) 938-3399
621 S New Ballas Rd
Suite 189a
Saint Louis, MO 63141-8255
Phone (314) 251-6335
621 S New Ballas Rd
Suite 4017B
Saint Louis, MO 63141-8269
Phone (314) 872-9192
Hospital & facility affiliations
- Mercy Home Health
- Apollo Medical
- Mercy Hospice
- Mercy Hospital St Louis
- Mercy Hospital Washington
- Mercy Hospital South
- St Lukes Hospital
- SSM Health Rehabilitation Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Family Medicine | Current | Accepting new patients |
| Mercy Clinic East Communities | Family Medicine | Current | Accepting new patients |
Locations
621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
Interoperability endpoints
- rmichaels66@directc.mercy.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
Family Medicine
-
- Family Medicine Physician
- Saint Louis, MO
- NPI 1043574940
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Saint Louis, MO
- NPI 1811432180
-
- Home Health Agency
- Saint Louis, MO
- NPI 1154407112
-
- Community Based Hospice Care Agency
- Saint Louis, MO
- NPI 1487739033
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Washington, MO
- NPI 1285664177
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- Rehabilitation Hospital
- Richmond Heights, MO
- NPI 1659511988
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519689600000",
"number": "1992735237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 THE LEGENDS PKWY",
"city": "EUREKA",
"state": "MO",
"postal_code": "630253801",
"telephone_number": "636-938-3399",
"fax_number": "636-938-9609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 THE LEGENDS PKWY",
"city": "EUREKA",
"state": "MO",
"postal_code": "630253801",
"telephone_number": "636-938-3399",
"fax_number": "636-938-9609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAELS",
"first_name": "ROBERT",
"middle_name": "BRADLEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2018-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2006004440",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00657168",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992735237",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eureka, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.