Mark Thomas Brulte in Douglas - Emergency Medicine
Mark Thomas Brulte - NPI 1205931672
Mark Thomas Brulte is a Emergency Medicine in Douglas, Georgia. Mark Thomas Brulte practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Mark Thomas Brulte is 1205931672. The last update date is 2010-12-08.
Mark Thomas Brulte's current location address is 200 Doctors Dr, Douglas, Georgia. You can contact this provider via phone number 9123843338 and fax number 9123890979. The mailing address for Mark Thomas Brulte is 200 Doctors Dr, Douglas, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Thomas Brulte |
|---|---|
| Address | 200 Doctors Dr, Douglas, Georgia |
| Phone Number | 9123843338 |
| Fax Number | 9123890979 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1205931672 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2010-12-08 |
Provider Mailing Address Detail
| Address | 200 Doctors Dr |
|---|---|
| City | Douglas |
| State | Georgia (GA) |
| Post Code | 315332201 |
| Phone Number | 9123843338 |
| Fax Number | 9123890979 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 48490 |
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Definition: An 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. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0008734441F | GA | -- | |
| GRP7301 | GA | MEDICARE GROUP # | |
| 000873441H | GA | -- | |
| 478042 | GA | WELLCARE-DOUGLAS | |
| 543782 | GA | WELLCARE-NICHOLLS | |
| 000873441I | GA | -- | |
| 00873441A | GA | -- | |
| 541189 | GA | WELLCARE-WILLACOOCHEE | |
| 128214 | GA | PEACHSTATE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mark Thomas Brulte?
The Mark Thomas Brulte has been issued the NPI (National Provider Identifier) 1205931672 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mark Thomas Brulte?
The Mark Thomas Brulte is physically situated at 200 Doctors Dr, in the city of Douglas, state of GA, with the postal code 315332201.
What is Mark Thomas Brulte's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark Thomas Brulte is Emergency Medicine, and the taxonomy classification code that categorizes this area of expertise is 207P00000X.
On what date did Mark Thomas Brulte receive its 1205931672 assignment from the Centers for Medicare & Medicaid Services?
The Mark Thomas Brulte was assigned its 1205931672 on 2006-09-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Mark Thomas Brulte, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark Thomas Brulte, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-12-08.
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