{"npi":"1043647142","type":"NPI-2","status":"active","name":{"display":"Brentwood Skin Clinic PLLC","other":[],"organization_name":"BRENTWOOD SKIN CLINIC PLLC","authorised_official":"Charles Mitchell"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207N00000X","description":"Dermatology","primary":true,"state":"TN","license":"37546"}]},"addresses":[{"purpose":"LOCATION","street_1":"5505 EDMONDSON PIKE","city":"NASHVILLE","state":"TN","postal_code":"372115872","country_code":"US","street_2":"SUITE 10","phone":"6158108730","fax":"6158108731"},{"purpose":"MAILING","street_1":"5505 EDMONDSON PIKE","city":"NASHVILLE","state":"TN","postal_code":"372115872","country_code":"US","street_2":"SUITE 10","phone":"6158108730","fax":"6158108731"}],"license":{"state":"TN","number":"37546"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"PENDING","state":"TN","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2013-10-03","last_updated":"2017-11-21","_meta":{"source":"NPPES","snapshot_date":"2017-11-21","doc_url":"https://findmynpi.com/api"}}