{"npi":"1023310034","type":"NPI-2","status":"active","name":{"display":"Beaver Dam Community Hospitals, INC","other":[],"organization_name":"BEAVER DAM COMMUNITY HOSPITALS, INC","authorised_official":"Gordon Edwards"},"specialty":{"primary_taxonomy":"207QS0010X","primary_taxonomy_description":"Sports Medicine (Family Medicine) Physician","slug":"sports-medicine-family-medicine-physician","schema_org_specialty":null,"all":[{"code":"207QS0010X","description":"Sports Medicine (Family Medicine) Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"705 S UNIVERSITY AVE STE 150","city":"BEAVER DAM","state":"WI","postal_code":"53916","country_code":"US","phone":"9202194009","fax":"9202199709"},{"purpose":"MAILING","street_1":"1000 N OAK AVE","city":"MARSHFIELD","state":"WI","postal_code":"544495703","country_code":"US","street_2":"ATTN: PROVIDER ENROLLMENT SERVICES/WWP","phone":"7153890660"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2010-11-23","last_updated":"2022-03-02","_meta":{"source":"NPPES","snapshot_date":"2022-03-02","doc_url":"https://findmynpi.com/api"}}