Dr. Mark Brockman Jr.
M.D. | Pediatrics | Male
Dr. Mark Brockman Jr., M.D. is a Shepherdsville, Kentucky based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Mark Brockman Jr. is
115 Huston Dr Ste 2, Shepherdsville, Kentucky - 40165-7250. He can be contacted on phone at
502-955-8979 and fax number 502-955-1205.
Dr. Mark Brockman Jr. is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Mark Brockman Jr. is
1568857795 which was assigned by NPPES on 03 Apr, 2015 and it was last updated on 21 Sep, 2022.
Dr. Mark Brockman Jr. license number is
51074 for Pediatrics (208000000X) in Kentucky.
Dr. Mark Brockman Jr. 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:
Dr. Mark Brockman Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Mark Brockman Jr. |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
Business Address:
Dr. Mark Brockman Jr. 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 : | 115 Huston Dr Ste 2
Shepherdsville, KY, 40165-7250
United States |
|---|
| Phone Number : | 502-955-8979 |
|---|
| Fax Number : | 502-955-1205 |
|---|
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 : | 1568857795 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 03 Apr, 2015 |
|---|
| Last Updated On : | 21 Sep, 2022 |
|---|
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 Dr. Mark Brockman Jr. are as mentioned. Primary taxonomy code for Dr. Mark Brockman Jr., M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | - |
| 208000000X | Pediatrics | Yes | 51074 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Mark Brockman Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 300044581 | MEDICAID | IN | |
| 7100435590 | MEDICAID | KY | |
| K270741 | Other (non-Medicare) | KY | Medicare |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
231 E CHESTNUT ST,
LOUISVILLE, KY, 40202
United States | LOUISVILLE, KY | 502-629-8828 |
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) | mbrockman60759@direct.nortonhealthcare.org
| No affiliation |
|
| 231 E Chestnut St,
Louisville, KY, 40202
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 776879
Chicago, IL, 60677-6879
United States |
|---|
| Phone Number : | 502-272-5754 |
|---|
| Fax Number : | 502-272-5339 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Mark Brockman Jr. 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.