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

Mark A Brockman, MD

Individual provider Pediatrics Physician · NPI 1255382628

Mark A Brockman, MD is a Pediatrics Physician in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2006.

Licensed in
KY
In the registry since
2006
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

5109 New Cut Rd
Louisville, KY 40214-2745
Phone: (502) 361-1197
Fax: (502) 361-0090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 26812 (KY)

Record details

NPI number1255382628
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 12, 2006
Last updated in NPPESOctober 5, 2022
Certification dateOctober 5, 2022

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