Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Jackson Ryan Brunner, LAT, ATC
Athletic Trainer in Normal, IL · enumerated 2018.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1821563453
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Registry record
Entity type Individual (Type 1)
Name Jackson Ryan Brunner
Credential LAT, ATC
Sex Male
Practice address 7160 Athletics Kaufman Football Building, Normal, IL, 61790
Phone (309) 438-0607
Enumeration date Oct 10, 2018
Last updated in NPPES Sep 28, 2021
Taxonomy & licenses
2255A2300X Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 096.004944 (IL) Primary
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.
Frequently asked questions
Where does Jackson Brunner practice?
The practice location on file with NPPES is in Normal, IL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jackson Brunner?
The National Provider Identifier (NPI) for Jackson Brunner is 1821563453, a Type 1 (individual) record in the CMS NPPES registry.
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-09-28.