MR. MARK ROBERT BACON (PA-C) – Medical Physician Assistant, NPI 1972530053

MR. MARK ROBERT BACON (PA-C) is a healthcare provider. based in Edmond, Oklahoma. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 1389 (OK). The NPI Number for MR. MARK ROBERT BACON (PA-C) is 1972530053

Main info

Male
Name
MR. MARK ROBERT BACON (PA-C)
NPI
1972530053
Phone
(405) 330-4946
Address
748 MILAN CT
Enumeration Date
26 June 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for MR. MARK ROBERT BACON (PA-C)

  • 748, Milan Court, Edmond, Oklahoma County, Oklahoma, 73034, United States

    EDMOND, OK 730346897

    Phone: (405) 330-4946

    Type: Mailing

  • 72ND MEDICAL GROUP

    5700 ARNOLD ST

    TINKER AFB, OK 73145

    Phone: (405) 736-4943

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73034)

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Reviews

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Frequently asked questions

Can I verify MR. MARK ROBERT BACON (PA-C) with an NPI only?
You can start verification with NPI 1972530053 for MR. MARK ROBERT BACON (PA-C), then check state licensing separately.
Does CMS list MR. MARK ROBERT BACON (PA-C) as active?
Yes — MR. MARK ROBERT BACON (PA-C) is active in the NPI listing used on this page.
What healthcare role does MR. MARK ROBERT BACON (PA-C) hold?
Scheduling teams often label MR. MARK ROBERT BACON (PA-C) under Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for MR. MARK ROBERT BACON (PA-C)?
MR. MARK ROBERT BACON (PA-C)'s geographic hint is Edmond, Oklahoma in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.