JORDAN MICHAEL BRUNSWICK (MD) – Emergency Medicine Physician, NPI 1184006090

JORDAN MICHAEL BRUNSWICK (MD) is a healthcare provider. based in Lexington, Kentucky. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. R3728 (KY). The NPI Number for JORDAN MICHAEL BRUNSWICK (MD) is 1184006090

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN MICHAEL BRUNSWICK (MD)
NPI
1184006090
Phone
(859) 323-5908
Address
800 ROSE ST RM M53
Enumeration Date
27 June 2015
Last Update Date
22 June 2018

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
4196782341
Graduation Year
2015 (11 years ago)
PAC ID
0345536546
Group Practice PAC ID
8820081755
Professional Enrollment ID
I20181023003331
Address ID
OH458281613CO800XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:10State licenses:2Digital endpointsOther names

886 EMERGENCY MEDICINE in KY

Provider Addresses for JORDAN MICHAEL BRUNSWICK (MD)

  • 800 ROSE ST RM M53

    LEXINGTON, KY 405360298

    Phone: (859) 323-5908

    Fax: (859) 323-8056

    Type: Mailing

  • 800 ROSE ST

    ROOM M53

    LEXINGTON, KY 40536

    Phone: (859) 323-5083

    Fax: (859) 323-8056

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180727002147IEmergency MedicineKYTBD
I20181023003331IEmergency MedicineOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making187184$0
99284Emergency department visit with moderate level of medical decision making6666$0
99283Emergency department visit with low level of medical decision making3131$0
View full utilization report →

Insurance plans in this area (ZIP 40536)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820081755View full group profile
NameSpecialtyState
Emergency MedicineOH
Nurse PractitionerOH
General SurgeryAZ
Emergency MedicineOH
Nurse PractitionerOH
Nurse PractitionerOH
-OH
Internal MedicineOH
-OH
Emergency MedicineOH

Reviews

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Frequently asked questions

How do I look up JORDAN MICHAEL BRUNSWICK (MD) by NPI?
Use NPI 1184006090 when you need to reference JORDAN MICHAEL BRUNSWICK (MD) in forms, claims, or directories.
Is JORDAN MICHAEL BRUNSWICK (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is JORDAN MICHAEL BRUNSWICK (MD)?
The page reflects Emergency Medicine Physician for JORDAN MICHAEL BRUNSWICK (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for JORDAN MICHAEL BRUNSWICK (MD)?
The page summarizes Lexington, Kentucky for JORDAN MICHAEL BRUNSWICK (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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