Active NPI
Jordan Allen Hunsberger, DO
- Pediatrics Physician
- Elkhart, IN
National Provider Identifier
1124715818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 02009137A
- Practice address
- 1627 E Bristol St
Elkhart, IN 46514-3817 - Phone
- (574) 262-0313
- NPI assigned
- Apr 21, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 02009137A | IN | Primary |
Addresses
Primary practice location
1627 E Bristol St
Elkhart, IN 46514-3817
Mailing address
1627 E Bristol St
Elkhart, IN 46514-3817
Phone (574) 262-0313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1124715818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1627 E BRISTOL ST",
"city": "ELKHART",
"state": "IN",
"postal_code": "465143817",
"telephone_number": "574-262-0313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1627 E BRISTOL ST",
"city": "ELKHART",
"state": "IN",
"postal_code": "465143817",
"telephone_number": "574-262-0313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNSBERGER",
"first_name": "JORDAN",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-21",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "02009137A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.