MR. MARK ROBERT BACON PA-C
NPI 1972530053
Physician Assistant - Medical in Tinker Afb, OK

Active since June 26, 2006
72ND MEDICAL GROUP, 5700 ARNOLD ST, TINKER AFB, OK 73145(405) 736-4943 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Mark Robert Bacon Pa-c NPPES

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

MR. MARK ROBERT BACON PA-C (NPI 1972530053) is an individual medical provider in Tinker Afb, Oklahoma, licensed in Oklahoma (1389) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1972530053
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. MARK ROBERT BACONCredential: PA-C
Location Address72ND MEDICAL GROUP, 5700 ARNOLD STTinker Afb, OK 73145
Mailing Address748 Milan CtEdmond, OK 73034-6897 · (405) 330-4946
Sole ProprietorNo
Enumeration DateJune 26, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1972530053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in OK · 1389 Licensed in AK · 602
72ND MEDICAL GROUP, Tinker Afb, OK 73145

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 Bacon's NPI number?

The NPI number for Mark Bacon is 1972530053. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Mark Bacon located?

Mark Bacon practices at 72nd Medical Group 5700 Arnold St, Tinker Afb, OK 73145. The listed phone number is (405) 736-4943.

What is Mark Bacon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Mark Bacon was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.