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

Individual provider Medical Physician Assistant · NPI 1982118287

Jeremy Brunner, PA-C is a Physician Assistant in Urbana, Illinois. Qualified in 2017, 9 years ago. Works from 2 locations. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1818 E Windsor Rd
Urbana, IL 61802-9566
Phone: (217) 255-9700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 085006454 (IL)

Record details

NPI number1982118287
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 22, 2017
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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