Individual
DR. MARK ANDREW BICKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1223 GATEWAY DR, MELBOURNE, FL 32901-2607
(321) 549-0528
(321) 984-8483
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 549-0528
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
OS17885
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113851200
—
FL
01
—
O3614
MEDICARE HFMG
FL
01
—
O4471
HFPS
FL
Enumeration date
05/19/2006
Last updated
04/30/2026
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