Dr. Blake N Brog, D.M.D.
Dr. Blake N Brog is a Orthodontics and Dentofacial Orthopedics Dentistry provider (Dentist) practicing in Bountiful, UT, registered in the NPPES registry with NPI 1871624403 since 2007. The credential DMD stands for Doctor of Medicine in Dentistry. Practices at Todd C. Liston DDS, Ms, PC (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1871624403 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Blake N Brog |
| Credential | D.M.D. |
| Sex | Male |
| Practice address | Bountiful, UT, 84010 |
| Phone | 8012921888 |
| Enumeration date | 2007-03-07 |
| Last updated in NPPES | 2007-07-08 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | Primary | 142188-9921 | UT |
DMD — Doctor of Medicine in Dentistry: A licensed dentist; DMD and DDS are equivalent dental degrees. About the DMD credential
Copy-ready billing details
Provider: Blake Brog, D.M.D. NPI: 1871624403 Taxonomy: 1223X0400X (Orthodontics and Dentofacial Orthopedics Dentistry) Address: Bountiful, UT, 84010
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1407925225 | Dale Linton | Individual | General Practice Dentistry | Bountiful, UT |
| 1205098324 | Todd C. Liston DDS, Ms, PC | Organization | Oral and Maxillofacial Surgery (Dentist) | Bountiful, UT |
Verify this record
Cross-check NPI 1871624403 against the authoritative CMS record: view Dr. Blake N Brog on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Is NPI 1871624403 active?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.