MARK THOMAS BRULTE MD
NPI 1205931672
Internal Medicine in Douglas, GA

Active since September 13, 2006PECOS EnrolledAccepts Medicare Assignment
200 DOCTORS DR, SUITE 106, DOUGLAS, GA 31533(912) 384-3338(912) 389-0979 Get Directions Write a Review

NPPES record last updated: December 8, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark Thomas Brulte Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK THOMAS BRULTE MD (NPI 1205931672) is an individual internal medicine provider in Douglas, Georgia, licensed in Georgia (048490) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Coffee Regional Medical Center, Inc, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1993).

NPPES Registry Identity

NPI1205931672
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMARK THOMAS BRULTECredential: MD
Location Address200 DOCTORS DR, SUITE 106Douglas, GA 31533-2201
Mailing Address200 Doctors Dr, Suite 106Douglas, GA 31533-2201 · (912) 384-3338 · Fax (912) 389-0979
Fax(912) 389-0979
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1993
Enumeration DateSeptember 13, 2006
Last NPPES UpdateDecember 8, 2010
NPI 1205931672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 048490
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 048490 (GA)
200 DOCTORS DR, Douglas, GA 31533

Other Identifiers 12

Medicaid00873441AGA
OtherGRP7301GA · Medicare Group #
Other543782GA · Wellcare-nicholls
Other128214GA · Peachstate
Medicaid0008734441FGA
Medicare ID-Type Unspecified93BDMRRGA
Other478042GA · Wellcare-douglas
Medicaid000873441IGA
Medicare UPING66085GA
Medicaid000873441HGA
Medicare PIN202I118942GA
Other541189GA · Wellcare-willacoochee

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mark Thomas Brulte Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426055096
PECOS Enrollment IDI20061025000267
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
218 services198 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
19 services19 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
19 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Coffee Regional Medical Center, Inc

Acute Care Hospitals · Douglas, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110089
Location1101 Ocilla RoadDouglas, GA 31533 · Coffee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31533 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$21.30 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$119.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
200 DOCTORS DR, STE 224
DOUGLAS, GA 31533
Nurse Practitioner (Family)
200 DOCTORS DR, STE 201
DOUGLAS, GA 31533
Internal Medicine
200 DOCTORS DR, SUITE 106
DOUGLAS, GA 31533
Urology
200 DOCTORS DR, SUITE 220
DOUGLAS, GA 31533
Family Medicine
200 DOCTORS DR, SUITE 224
DOUGLAS, GA 31533
Urology
200 DOCTORS DR, STE 220
DOUGLAS, GA 31533
Psychiatry & Neurology (Neurology)
200 DOCTORS DR, SUITE L
DOUGLAS, GA 31533
Nurse Practitioner (Family)
200 DOCTORS DR, SUITE 106
DOUGLAS, GA 31533

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Brulte's NPI number?

The NPI number for Mark Brulte is 1205931672. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Mark Brulte located?

Mark Brulte practices at 200 Doctors Dr Suite 106, Douglas, GA 31533. The listed phone number is (912) 384-3338.

What is Mark Brulte's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mark Brulte enrolled in Medicare?

Yes. Mark Brulte is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Brulte accept?

Health plans from Alliant Health Plans, Inc. and Oscar Insurance Company list Mark Brulte as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mark Brulte affiliated with any hospitals?

According to CMS data, Mark Brulte is affiliated with Coffee Regional Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Mark Brulte was last updated on December 8, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.