Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Jack Michael Brunson, PA-C

Physician Assistant in Elgin, IL · enumerated 2013.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174950661

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Registry record

Entity type Individual (Type 1)

Name Mr. Jack Michael Brunson

Credential PA-C

Sex Male

Practice address 1425 N Randall Rd, Elgin, IL, 60123

Phone (847) 742-9800

Enumeration date Sep 30, 2013

Last updated in NPPES Nov 24, 2025

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 085004840 (IL) Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 085.004840 (IL) Primary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 10002688A (IN) Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 853623 (WI) Secondary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1174950661 active?

Yes, as of the latest NPPES snapshot, NPI 1174950661 is active (record last updated 2025-11-24).

How do I verify Jack Brunson's NPI record?

Cross-check NPI 1174950661 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-11-24.