Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Casteel Bruner II, MD

Individual provider Surgery Physician · NPI 1982607669

Jack Casteel Bruner II, MD is a Family Practice in Cottonwood, Idaho. Graduated from University of Kentucky College of Medicine in 1991, 35 years ago. Practices with St Marys Hospital Inc, a 21-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
35
Trained at
University of Kentucky College of Medicine
Licensed in
ID
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

701 Lewiston St
Cottonwood, ID 83522-9750
Phone: (208) 962-3267
Fax: (208) 962-2313
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M6055 (ID)
Surgery Physician Taxonomy 208600000X · Licence M6055 (ID)

Record details

NPI number1982607669
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2005
Last updated in NPPESAugust 6, 2021
Certification dateAugust 5, 2021
Mailing addressPo Box 565, Cottonwood, ID 83522-0565

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice St Marys Hospital Inc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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