Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Jack Edward Hubbard Jr., PH.D., M.D.

Neurology Physician in Burnsville, MN · enumerated 2006.

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

National Provider Identifier

1194772103

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Registry record

Entity type Individual (Type 1)

Name Dr. Jack Edward Hubbard Jr.

Credential PH.D., M.D.

Sex Male

Practice address 675 E Nicollet Blvd, Suite 100, Burnsville, MN, 55337

Phone (952) 435-8516

Fax (763) 302-4336

Enumeration date May 27, 2006

Last updated in NPPES Dec 1, 2011

Taxonomy & licenses

2084N0400X Neurology Physician Allopathic & Osteopathic Physicians · License 24157 (MN) Primary

PHD · Doctor of Philosophy: A doctoral degree; in healthcare often held by clinical psychologists and researchers. About the PHD credential

Other identifiers

Identifier	Type	State	Issuer
0265006	Other	MN	PREFERRED ONE
0506197	Other	MN	MEDICA
HP13563	Other	MN	HEALTHPARTNERS
829007500	Medicaid	MN	-
22668	Other	MN	AMERICA'S PPO
30478600	Medicaid	WI	-
07483HU	Other	MN	BCBS OF MN
100285C029	Other	MN	UCARE
130004281	Other	MN	RAILROAD MEDICARE

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.

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Frequently asked questions

Is NPI 1194772103 active?

Yes, as of the latest NPPES snapshot, NPI 1194772103 is active (record last updated 2011-12-01).

How do I verify Jack Hubbard's NPI record?

Cross-check NPI 1194772103 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 2011-12-01.