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

Mark Thomas Brulte, MD

Individual provider Emergency Medicine Physician · NPI 1205931672

Mark Thomas Brulte, MD is an Internal Medicine in Douglas, Georgia. Graduated from Louisiana State University School of Medicine in New Orleans in 1993, 33 years ago. Practices with Coffee Regional Medical Center Inc, a 29-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
33
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 Doctors Dr Ste 106
Douglas, GA 31533-2201
Phone: (912) 384-3338
Fax: (912) 389-0979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 048490 (GA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 048490 (GA)

Record details

NPI number1205931672
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 13, 2006
Last updated in NPPESDecember 8, 2010
Mailing address200 Doctors Dr, Suite 106, Douglas, GA 31533-2201

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesEMERGENCY MEDICINE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 1993 (33 years in practice)
Group practice Coffee Regional Medical Center Inc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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