Jeremy Brunner, PA-C
Physician Assistant, Medical in Urbana, IL. Individual provider (NPI-1).
NPI number1982118287
StatusActive
Last updated in NPPESFeb 25, 2026
Details
- NPI
- 1982118287
- Entity type
- Individual (NPI-1)
- Name
- Jeremy Brunner
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 22, 2017
- Certification date
- Feb 25, 2026
- Last updated
- Feb 25, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 085006454 | IL | Yes |
Practice location
1818 E Windsor RdUrbana, IL 61802-9566
Phone 217-255-9700
Mailing address
611 W Park StUrbana, IL 61801-2501
Other practice locations
1200 W State St
Rockford, IL 61102-2112
Rockford, IL 61102-2112
Phone 815-490-1600 · Fax 815-490-1881
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Other Medical Physician Assistant providers in Urbana, IL
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All 5 Medical Physician Assistant providers in Urbana · All 1,958 providers in Urbana
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