DR. SUZANNE MITCHELL BRULTE (MD) – Internal Medicine Physician, NPI 1619918042

DR. SUZANNE MITCHELL BRULTE (MD) is a healthcare provider. based in Middleburg, Florida. specializing in INTERNAL MEDICINE, NEPHROLOGY. They hold the professional credentials MD. They hold a License No. ME89658 (FL). The NPI Number for DR. SUZANNE MITCHELL BRULTE (MD) is 1619918042

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUZANNE MITCHELL BRULTE (MD)
NPI
1619918042
Phone
(904) 379-7155
Address
3839 COUNTY ROAD 218
Enumeration Date
9 June 2006
Last Update Date
11 November 2024

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
5127303056
Graduation Year
1996 (30 years ago)
PAC ID
3870766215
Group Practice PAC ID
7517202112
Professional Enrollment ID
I20111101000284
Address ID
FL322044748JA1XXXXWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

12,378 INTERNAL MEDICINE in FL

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Provider Addresses for DR. SUZANNE MITCHELL BRULTE (MD)

  • Springfield Lake Road Park, 419, Springfield Lake, Middle Sackville, Halifax Regional Municipality, Halifax County, Nova Scotia, B4E 3K2, Canada

    MIDDLEBURG, FL 320685708

    Phone: (904) 379-7155

    Fax: (904) 379-7165

    Type: Mailing

  • Family Medical Center, 14011, Beach Boulevard, Isle of Palms, Jacksonville, Duval County, Florida, 32250, United States

    UNIT 120

    JACKSONVILLE, FL 322501694

    Phone: (904) 223-6400

    Fax: (904) 223-6420

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $321.

Total Amount is formed as General ($321) + Research ($0) + Ownership ($0) = $321.

Last reported payment date: 2024-10-12 • Largest payer in this snapshot: PFIZER INC. ($212).

Total Amount

$321

General + Research + Ownership

Payments

17

Total payment records

General Amount

$321

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-11-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111101000284IInternal MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes363144$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes138126$0
99239Hospital discharge day management, more than 30 minutes103102$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2726$0
99238Hospital discharge day management, 30 minutes or less1615$0
View full utilization report →

Insurance plans in this area (ZIP 32068)

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Provider's Procedures

DR. SUZANNE MITCHELL BRULTE (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEFL81002Urinalysis, manual test1711

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517202112View full group profile
NameSpecialtyState
Internal MedicineFL
-TN
Nurse PractitionerFL
-FL
-FL
Nurse PractitionerFL
-FL
Family PracticeFL
Family PracticeFL
Internal Medicine, Infectious DiseaseTX

Reviews

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Frequently asked questions

What number should I use to identify DR. SUZANNE MITCHELL BRULTE (MD) for billing?
Administrative and clinical systems typically use NPI 1619918042 for DR. SUZANNE MITCHELL BRULTE (MD).
Is DR. SUZANNE MITCHELL BRULTE (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. SUZANNE MITCHELL BRULTE (MD) as active.
What services align with DR. SUZANNE MITCHELL BRULTE (MD)'s listing?
DR. SUZANNE MITCHELL BRULTE (MD)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. SUZANNE MITCHELL BRULTE (MD)?
DR. SUZANNE MITCHELL BRULTE (MD) is associated with Middleburg, Florida in the same public data insurers reference.
Who maintains DR. SUZANNE MITCHELL BRULTE (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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