Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark Brockman Jr., MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568857795

Dr. Mark Brockman Jr., MD is a Student in an Organized Health Care Education/Training Program in Shepherdsville, Kentucky. Works from 2 locations. Licensed in Kentucky.

Licensed in
KY
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

115 Huston Dr Ste 2
Shepherdsville, KY 40165-7250
Phone: (502) 955-8979
Fax: (502) 955-1205
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 231 E Chestnut St, Louisville, KY 40202 — (502) 629-8828

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 51074 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1568857795
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2015
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024

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