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

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.

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
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

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

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.

Internal Medicine
1500 E MEDICAL CENTER DR SPC 5368
ANN ARBOR, MI 48109
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DR SPC 5368
ANN ARBOR, MI 48109
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DR SPC 5368
ANN ARBOR, MI 48109
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DR SPC 5368
ANN ARBOR, MI 48109
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DR SPC 5368
ANN ARBOR, MI 48109
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DR SPC 5368
ANN ARBOR, MI 48109
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DR SPC 5368
ANN ARBOR, MI 48109
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DR SPC 5368
ANN ARBOR, MI 48109

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811747785, enumerated as an "individual" on March 25, 2024.

The provider is located at 1500 E MEDICAL CENTER DR SPC 5368 ANN ARBOR, MI 48109 and the phone number is (734) 998-2020.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.