JEREMY BRUNNER PA-C
NPI 1982118287
Physician Assistant - Medical in Urbana, IL

Active since November 22, 2017PECOS Enrolled
1818 E WINDSOR RD, URBANA, IL 61802(217) 255-9700 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeremy Brunner Pa-c NPPES

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

JEREMY BRUNNER PA-C (NPI 1982118287) is an individual medical provider in Urbana, Illinois, licensed in Illinois (085006454) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rockford, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1982118287
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJEREMY BRUNNERCredential: PA-C
Location Address1818 E WINDSOR RDUrbana, IL 61802-9566
Mailing Address611 W Park StUrbana, IL 61801-2501
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 22, 2017
Last NPPES UpdateFebruary 25, 2026
NPPES CertifiedFebruary 25, 2026
NPI 1982118287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in IL · 085006454
1818 E WINDSOR RD, Urbana, IL 61802

Secondary Practice Location 1

Location 11200 W State StRockford, IL 61102-2112 · Phone (815) 490-1600 · Fax (815) 490-1881

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jeremy Brunner Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577822170
PECOS Enrollment IDI20251202001031
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.

Pediatrics
1818 E WINDSOR RD
URBANA, IL 61802
Nurse Practitioner (Gerontology)
1818 E WINDSOR RD
URBANA, IL 61802
Pharmacist (Ambulatory Care)
1818 E WINDSOR RD
URBANA, IL 61802
Family Medicine
1818 E WINDSOR RD
URBANA, IL 61802
Nurse Practitioner
1818 E WINDSOR RD
URBANA, IL 61802
Internal Medicine (Geriatric Medicine)
1818 E WINDSOR RD
URBANA, IL 61802
Nurse Practitioner (Psychiatric/Mental Health)
1818 E WINDSOR RD
URBANA, IL 61802
Nurse Practitioner
1818 E WINDSOR RD
URBANA, IL 61802

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Brunner's NPI number?

The NPI number for Jeremy Brunner is 1982118287. It was assigned to this individual provider in the NPPES registry on November 22, 2017.

Where is Jeremy Brunner located?

Jeremy Brunner practices at 1818 E Windsor Rd, Urbana, IL 61802. The listed phone number is (217) 255-9700.

What is Jeremy Brunner's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jeremy Brunner enrolled in Medicare?

Yes. Jeremy Brunner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeremy Brunner was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.