Organization Active NPI

Jorge E Brunelle, MD, MPH, PC

  • Family Medicine Physician
  • Aurora, IL
National Provider Identifier
1710067962
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JORGE E BRUNELLE, MD, MPH, PC
Practice address
120 S Lincoln Ave
Aurora, IL 60505-4228
Phone
(630) 801-4150
Fax
(630) 801-4151
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jorge E Brunelle, M.D, M.P.H, PCNPI 1164443438
Title
President/Owner
Phone
(630) 801-4150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

120 S Lincoln Ave
Aurora, IL 60505-4228

Mailing address

120 S Lincoln Ave
Aurora, IL 60505-4228
Phone (630) 801-4150

Other identifiers 2

IdentifierTypeStateIssuer
0036-097428OtherILLICENSE NUMBER
36097428MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070111000364 IL Part B Supplier - Clinic/Group Practice 4385644533 Receives reassigned benefits from 1 practitioner
Practice locations: Aurora, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0968731Jorge E Brunelle MD MPH120 S Lincoln Ave, Aurora, IL 60505Certificate of waiverDec 20, 2027

National Provider Directory

National Provider Directory

Locations

120 S Lincoln Ave
Aurora, IL 60505
Phone (630) 801-4150

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1710067962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S LINCOLN AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605054228",
            "telephone_number": "630-801-4150",
            "fax_number": "630-801-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S LINCOLN AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605054228",
            "telephone_number": "630-801-4150",
            "fax_number": "630-801-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE E BRUNELLE, MD, MPH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "BRUNELLE",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "630-801-4150",
        "authorized_official_credential": "M.D, M.P.H, PC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "0036-097428",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36097428",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.