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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Mark Brockman Jr., M.D.

Pediatrics Physician in Shepherdsville, KY · enumerated 2015.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1568857795

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Registry record

Entity type Individual (Type 1)
Name Dr. Mark Brockman Jr.
Credential M.D.
Sex Male
Practice address 115 Huston Dr Ste 2, Shepherdsville, KY, 40165
Phone (502) 955-8979
Fax (502) 955-1205
Enumeration date Apr 3, 2015
Last updated in NPPES Sep 20, 2024

Taxonomy & licenses

390200000X Student in an Organized Health Care Education/Training Program Student, Health Care Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 51074 (KY) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
300044581 Medicaid IN -
7100435590 Medicaid KY -
K270741 Other KY MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Mark Brockman practice?
The practice location on file with NPPES is in Shepherdsville, KY. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Mark Brockman?
The National Provider Identifier (NPI) for Mark Brockman is 1568857795, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-09-20.