NPI age
19 years
Enumerated 2006-09-13
● Active
Type 1 · Individual
Mark Thomas Brulte, MD
Brulte is 1 of 14 internal medicine providers in Douglas and 1 of 5027 in Georgia.
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-12-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5027 active internal medicine providers in Georgia.
NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
1
In the 32% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Practice location
200 Doctors Dr, Suite 106
Douglas, GA 315332201
Mailing address
200 Doctors Dr, Suite 106
Douglas, GA 315332201
Specialties
-
Internal Medicine PrimaryA 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,...
-
Emergency MedicineAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 0008734441F | |
| 01 (GA) | GRP7301 | MEDICARE GROUP # |
| 05 (GA) | 000873441H | |
| 01 (GA) | 478042 | WELLCARE-DOUGLAS |
| 01 (GA) | 543782 | WELLCARE-NICHOLLS |
| 05 (GA) | 000873441I | |
| 05 (GA) | 00873441A | |
| 01 (GA) | 541189 | WELLCARE-WILLACOOCHEE |
| 01 (GA) | 128214 | PEACHSTATE |
Practice context
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 5027 Internal Medicine providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.