Jackson Brunner, LAT, ATC
NPI 1821563453 · Athletic Trainer · Normal, IL
Jackson Brunner, LAT, ATC is a Athletic Trainer provider in Normal, IL (NPI 1821563453).
Provider details
- NPI number
- 1821563453
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT, ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 096.004944 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-10-10
- Last updated
- 2021-09-28
- Certified
- 2021-09-28
Frequently asked questions
- What is Jackson Brunner's NPI number?
- Jackson Brunner's National Provider Identifier (NPI) is 1821563453, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackson Brunner's specialty?
- Jackson Brunner is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jackson Brunner located?
- Jackson Brunner's practice location on file with NPPES is 7160 Athletics Kaufman Football Building, Normal, IL 61790-6953.
- What is Jackson Brunner's phone number?
- The practice phone number listed in the NPPES registry for Jackson Brunner is (309) 438-0607.
- Is Jackson Brunner's NPI active?
- Yes — Jackson Brunner's NPI (1821563453) is active in the NPPES registry as of the last update on 2021-09-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.