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DR. MARK BROCKMAN JR. M.D.
NPI 1568857795
Pediatrics in Shepherdsville, KY

Active since April 03, 2015PECOS Enrolled
115 HUSTON DR STE 2, SHEPHERDSVILLE, KY 40165(502) 955-8979(502) 955-1205 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 20, 2024, Sep 21, 2022, Sep 28, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Mark Brockman Jr. M.d. NPPES

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

DR. MARK BROCKMAN JR. M.D. (NPI 1568857795) is an individual pediatrics provider in Shepherdsville, Kentucky, licensed in Kentucky (51074) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568857795
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MARK BROCKMAN JR.Credential: M.D.
Location Address115 HUSTON DR STE 2Shepherdsville, KY 40165-7250
Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 272-5754 · Fax (502) 272-5339
Phone(502) 955-8979
Fax(502) 955-1205
Sole ProprietorNo
Enumeration DateApril 3, 2015
Last NPPES UpdateSeptember 20, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
✔ NPI 1568857795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · 51074
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
115 HUSTON DR STE 2, Shepherdsville, KY 40165
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Other Identifiers 3

Medicaid300044581IN
Medicaid7100435590KY
OtherK270741KY · Medicare

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)

Dr. Mark Brockman Jr. M.d. 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 40165 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

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

DR. ERIN FOX DO
Pediatrics
115 HUSTON DR STE 2
SHEPHERDSVILLE, KY 40165
Bullitt County (502) 988-8979

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 1568857795. It was assigned to this individual provider in the NPPES registry on April 3, 2015.

Where is Mark Brockman located?

Mark Brockman practices at 115 Huston Dr Ste 2, Shepherdsville, KY 40165. The listed phone number is (502) 955-8979.

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 September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.