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Dr. Mark Brockman JR., MD
Pediatrics Physician in Shepherdsville, Kentucky
NPI 1568857795

Mark Brockman JR. is a Pediatrics Physician based in Chicago, KY. Mark Brockman JR. practices in Shepherdsville, KY and has the professional credentials of MD. The NPI Number for Mark Brockman JR. is 1568857795 and holds a License No. (Kentucky).

The current practice location address for Mark Brockman JR. is 115 Huston Dr Ste 2, Shepherdsville, KY and can be reached out via phone at 502-955-8979 and via fax at 502-955-1205.

Location: 115 Huston Dr Ste 2, Shepherdsville, KY, 60677-6879
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568857795
Provider Name
Mark Brockman JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
115 Huston Dr Ste 2, Shepherdsville, KY, 60677-6879
Phone Number
502-955-8979
Fax Number
502-955-1205
Provider Enumeration Date
04/03/2015
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300044581 05 IN
7100435590 05 KY
K270741 01 KY MEDICARE
institution
Provider Business Practice Location Address Details
Address
115 Huston Dr Ste 2
City
Shepherdsville
State
Kentucky
Zip
40165-7250
Phone Number
502-955-8979
Fax Number
502-955-1205
person
Provider Business Mailing Address Details
Address
115 Huston Dr Ste 2
City
Shepherdsville
State
Kentucky
Zip
40165-7250
Phone Number
502-955-8979
Fax Number
502-955-1205
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
51074 (Kentucky)
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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