JACKSON RHODES BRUNNER M.D.
NPI 1811747785
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Q: What is Jackson Brunner's NPI number?

The NPI number for Jackson Brunner is 1811747785. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Q: What is Jackson Brunner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jackson Brunner was last updated on May 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 25, 2024PECOS Enrolled

1500 E MEDICAL CENTER DR SPC 5368, ANN ARBOR, MI 48109(734) 998-2020 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jackson Rhodes Brunner M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON RHODES BRUNNER M.D. (NPI 1811747785) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4351052202) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811747785

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJACKSON RHODES BRUNNERCredential: M.D.

Location Address1500 E MEDICAL CENTER DR SPC 5368Ann Arbor, MI 48109-5368

Mailing Address1500 E Medical Center DrAnn Arbor, MI 48109-5000 · (734) 998-2020

Phone(734) 998-2020

Sole ProprietorNo

Enumeration DateMarch 25, 2024

Last NPPES UpdateMay 6, 2024

NPPES CertifiedMay 6, 2024

✔ NPI 1811747785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in MI · 4351052202

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1500 E MEDICAL CENTER DR SPC 5368, Ann Arbor, MI 48109

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackson Rhodes Brunner M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MUNEER AL HUSSEINI MD

Internal Medicine