Individual provider · Type 1 NPI

Jeremy Brunner, PA-C

Medical Physician Assistant · Urbana, IL

NPI number 1982118287 Active

Practice location

1818 E Windsor Rd
Urbana, IL 61802-9566

Mailing address

611 W Park St
Urbana, IL 61801-2501

Other practice locations

  • 1200 W State St, Rockford, IL 61102-2112 · (815) 490-1600

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X085006454 (IL)

Medical Physician Assistant: Definition to come...

48 other providers at this address

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About NPI 1982118287

Jeremy Brunner, PA-C's National Provider Identifier is 1982118287, issued on Nov 22, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Urbana, IL. The record was last updated on Feb 25, 2026.