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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARK A BROCKMAN MD
NPI 1255382628
Pediatrics in Louisville, KY

Active since May 12, 2006PECOS Enrolled
5109 NEW CUT RD, LOUISVILLE, KY 40214(502) 361-1197(502) 361-0090 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 9, 2026, Oct 5, 2022, Jan 12, 2021 and 1 more (4 updates tracked since 2019).

About Mark A Brockman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK A BROCKMAN MD (NPI 1255382628) is an individual pediatrics provider in Louisville, Kentucky, licensed in Kentucky (26812) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255382628
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMARK A BROCKMANCredential: MD
Location Address5109 NEW CUT RDLouisville, KY 40214-2745
Mailing AddressPo Box 776879Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 361-1197
Fax(502) 361-0090
Sole ProprietorNo
Enumeration DateMay 12, 2006
Last NPPES UpdateOctober 9, 20264 updates tracked since enumeration
NPPES CertifiedOctober 9, 2026
✔ NPI 1255382628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · 26812
Definition
A pediatrician 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.
5109 NEW CUT RD, Louisville, KY 40214
Open in Google Maps ↗

Other Identifiers 2

Medicaid6426812100KY
Other000000050176KY · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark A Brockman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Mark Brockman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Medical Associates, Inc.
4.4 mi
Family Medicine
720 W HILL ST
Louisville, KY 40208
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
NPI 1245312503 (502) 636-3164
Norton Children's Medical Group, LLC
15 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARCELLA DENISE PEREZ M.D.
Pediatrics
5109 NEW CUT RD
LOUISVILLE, KY 40214
Jefferson County (502) 361-1197
MAGGIE PHUONG TRAN M.D.
Pediatrics
5109 NEW CUT RD
LOUISVILLE, KY 40214
Jefferson County (502) 361-1197
JOHN B LARSON MD
Pediatrics
5109 NEW CUT RD
LOUISVILLE, KY 40214
Jefferson County (502) 361-1197
LARSON, BROUGH, AND BROCKMAN PSC
Pediatrics
5109 NEW CUT RD
LOUISVILLE, KY 40214
Jefferson County (502) 361-1197
DAVID K BROUGH MD
Pediatrics
5109 NEW CUT RD
LOUISVILLE, KY 40214
Jefferson County (502) 361-1197

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Brockman's NPI number?

The NPI number for Mark Brockman is 1255382628. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Mark Brockman located?

Mark Brockman practices at 5109 New Cut Rd, Louisville, KY 40214. The listed phone number is (502) 361-1197.

What is Mark Brockman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mark Brockman enrolled in Medicare?

Yes. Mark Brockman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mark Brockman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Brockman reassigns Medicare benefits to 2 organizations: Community Medical Associates, Inc. (Louisville, KY) and Norton Children's Medical Group, LLC (Louisville, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Brockman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Brockman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Ambetter of Tennessee list Mark Brockman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Brockman was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.