Mark Brockman Jr., M.D.
Pediatrics Physician · Shepherdsville, KY
Practice location
115 Huston Dr Ste 2Shepherdsville, KY 40165-7250
- Phone
- (502) 955-8979
- Fax
- (502) 955-1205
NPI record
- NPI
- 1568857795
- Entity type
- Individual (Type 1)
- Enumeration date
- April 3, 2015
- Last updated
- September 20, 2024
- Certified
- September 20, 2024
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Physician Primary | 208000000X |
51074 | KY |
| Student in an Organized Health Care Education/Training Program | 390200000X |
— | — |
Mailing address
PO Box 776879Chicago, IL 60677-6879
- Phone
- (502) 272-5754
- Fax
- (502) 272-5339
Other practice locations (1)
- 231 E Chestnut St, Louisville, KY 40202 · (502) 629-8828
About Dr. Brockman
Mark Brockman Jr., M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 115 Huston Dr Ste 2, Shepherdsville, KY 40165-7250. The NPI number 1568857795 was assigned on April 3, 2015 and the record was last updated on September 20, 2024.
Dr. Brockman lists a license in the registry: #51074 (KY) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Mark Brockman Jr., M.D.?
The NPI number is 1568857795.
What is the phone number of Dr. Brockman?
The phone number listed for the practice location is (502) 955-8979.
Where is Dr. Brockman located?
115 Huston Dr Ste 2, Shepherdsville, KY 40165-7250.
What is the taxonomy code for Dr. Brockman?
The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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- Casey Miles Lewis, MD1707 Cedar Grove Rd Ste 20
- Erin Fox, DO115 Huston Dr Ste 2
- Sarah Renee Hart, M.D.1707 Cedar Grove Rd
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