{"npi":"1063402667","type":"NPI-1","status":"active","name":{"display":"Michael Buck M.D.","other":[],"first":"MICHAEL","last":"BUCK","middle":"GURDON","credential":"M.D."},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"LA","license":"015029"}]},"addresses":[{"purpose":"LOCATION","street_1":"1587 N BOLTON AVE","city":"ALEXANDRIA","state":"LA","postal_code":"713034217","country_code":"US","street_2":"SUITE 1100","phone":"3184734500","fax":"3184451509"},{"purpose":"MAILING","street_1":"1587 N BOLTON AVE","city":"ALEXANDRIA","state":"LA","postal_code":"713034217","country_code":"US","street_2":"SUITE 1100","phone":"3184734500","fax":"3184451509"}],"license":{"state":"LA","number":"015029"},"identifiers":[{"type_code":"01","label":"Other","value":"5J260","state":null,"issuer":"MEDICARE PTAN"},{"type_code":"05","label":"Medicaid","value":"1318469","state":"LA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20041110000806","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"LA","pac_id":"2567425556"}]},"enumeration_date":"2005-10-25","last_updated":"2017-02-28","_meta":{"source":"NPPES","snapshot_date":"2017-02-28","doc_url":"https://findmynpi.com/api"}}