Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821563453 Individual Practitioner Male Practitioner

Jackson Ryan Brunner , LAT, ATC

Specialist/Technologist - Athletic Trainer • Normal, IL

Professional Overview & Biography Verified Profile Summary

Jackson Brunner, LAT, ATC is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Normal, IL. Practice services are available at 7160 ATHLETICS KAUFMAN FOOTBALL BUILDING under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7160 Athletics Kaufman Football Building

Normal, IL 617906953

Telephone 3094380607

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Normal, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.0 Yrs
Regional Practice Density
62 Specialists

Practicing in Normal, IL (1955 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-09-28
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License IL 096.004944

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location September 28, 2021

Registered at 7160 ATHLETICS KAUFMAN FOOTBALL BUILDING, NORMAL, IL 617906953 (Tel: 3094380607)

📍
Updated Business Mailing Address September 28, 2021

Registered at 7160 ATHLETICS KAUFMAN FOOTBALL BUILDING, NORMAL, IL 617900001

👤
Provider Name / Credentials Updated September 28, 2021

Recorded as JACKSON BRUNNER, LAT, ATC

📍
Updated Practice Location September 09, 2019

Registered at 1206 S 4TH ST, CHAMPAIGN, IL 618206953 (Tel: 2173008605)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2019

Specialist/Technologist (License #096.004944 in IL)

NPI Profile Active October 10, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2018

Registered at 2196 S RAINWATER DR, DECATUR, IL 625214863 (Tel: 2178556136)

📍
Updated Business Mailing Address October 10, 2018

Registered at 2196 S RAINWATER DR, DECATUR, IL 625214863

👤
Provider Name / Credentials Updated October 10, 2018

Recorded as JACKSON BRUNNER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2018

Specialist/Technologist

🟢
Initial NPI Registration & Enumeration October 10, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821563453
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2018
Last Update: September 28, 2021
Sole Proprietor: No

Mailing Address

7160 Athletics Kaufman Football Building

Normal, IL 617900001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.