Mark A Brockman
MD | Pediatrics | Male
Mark A Brockman, MD is a Louisville, Kentucky based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mark A Brockman is
5109 New Cut Rd, Louisville, Kentucky - 40214-2745. He can be contacted on phone at
502-361-1197 and fax number 502-361-0090.
Mark A Brockman is a sole proprietor of his business.
NPI number (Unique professional ID) for Mark A Brockman is
1255382628 which was assigned by NPPES on 12 May, 2006 and it was last updated on 05 Oct, 2022.
Mark A Brockman license number is
26812 for Pediatrics (208000000X) in Kentucky.
Mark A Brockman is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mark A Brockman basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Mark A Brockman |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Mark A Brockman address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5109 New Cut Rd
Louisville, KY, 40214-2745
United States |
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| Phone Number : | 502-361-1197 |
|---|
| Fax Number : | 502-361-0090 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1255382628 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 12 May, 2006 |
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| Last Updated On : | 05 Oct, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark A Brockman are as mentioned. Primary taxonomy code for Mark A Brockman, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 26812 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Mark A Brockman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000000050176 | Other (non-Medicare) | KY | BLUE CROSS |
| 6426812100 | MEDICAID | KY | |
| K093320 | MEDICARE PIN | KY | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | mbrockman55376@direct.nortonhealthcare.org
| No affiliation |
|
| 5109 New Cut Rd,
Louisville, KY, 40214-2745
United States |
FHIR
(FHIR URL) | https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/
| No affiliation |
|
| 5109 New Cut Rd,
Louisville, KY, 40214-2745
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 776351
Chicago, IL, 60677-6351
United States |
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| Phone Number : | 502-588-9490 |
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Business Location:
Patients can refer following map for directions to
Mark A Brockman practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.