Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark Brummel, DO

Individual provider Family Medicine Physician · NPI 1477619872

Dr. Mark Brummel, DO is a Family Practice in Kingsport, Tennessee. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2004, 22 years ago. Practices with Medical Education Assistance Corporation, a 176-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
22
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
TN
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

102 E Ravine Rd
Kingsport, TN 37660-3814
Phone: (423) 245-9600
Fax: (423) 245-9634
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO1970 (TN)

Record details

NPI number1477619872
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedDecember 29, 2006
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 16, 2024
Mailing addressPo Box 699, Mountain Home, TN 37684-0699

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2004 (22 years in practice)
Group practice Medical Education Assistance Corporation — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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