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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 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2022, Jan 12, 2021, Mar 21, 2019 (3 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 776351Chicago, IL 60677-6351 · (502) 588-9490
Phone(502) 361-1197
Fax(502) 361-0090
Sole ProprietorNo
Enumeration DateMay 12, 2006
Last NPPES UpdateOctober 5, 20223 updates tracked since enumeration
NPPES CertifiedOctober 5, 2022
✔ 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
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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 Home State Health, Ambetter from Meridian and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

What insurance does Mark Brockman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and Ambetter of Tennessee and 1 other insurer 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 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.