{"npi":"1073515862","type":"NPI-1","status":"active","name":{"display":"Jeffrey Gruner M.D.","other":[],"first":"JEFFREY","last":"GRUNER","middle":"SCOTT","credential":"M.D."},"specialty":{"primary_taxonomy":"2086S0102X","primary_taxonomy_description":"Surgical Critical Care Physician","slug":"surgical-critical-care-physician","schema_org_specialty":null,"all":[{"code":"208600000X","description":"Surgery","primary":false,"state":"LA","license":"023672"},{"code":"2086S0102X","description":"Surgical Critical Care Physician","primary":true,"state":"AZ","license":"77713"}]},"addresses":[{"purpose":"LOCATION","street_1":"1200 N BEAVER ST","city":"FLAGSTAFF","state":"AZ","postal_code":"860013118","country_code":"US","phone":"9287732200"},{"purpose":"MAILING","street_1":"7777 HENNESSY BLVD STE 102","city":"BATON ROUGE","state":"LA","postal_code":"708084363","country_code":"US","phone":"2257652048","fax":"2257651958"}],"license":{"state":"AZ","number":"77713"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1486795","state":"LA","issuer":null},{"type_code":"01","label":"Other","value":"900070463GR","state":"LA","issuer":"OSCHNER"},{"type_code":"01","label":"Other","value":"P00012293","state":"LA","issuer":"RAILROAD MEDICARE PIN#"},{"type_code":"01","label":"Other","value":"1700784","state":"LA","issuer":"UNITED HEALTHCARE"},{"type_code":"01","label":"Other","value":"195344","state":"LA","issuer":"COVENTRY"},{"type_code":"01","label":"Other","value":"7194459","state":"LA","issuer":"AETNA"},{"type_code":"01","label":"Other","value":"DA0978","state":"LA","issuer":"RAILROAD MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20101102000698","type_code":"14-02","type_desc":"PRACTITIONER - GENERAL SURGERY","state":"LA","pac_id":"0547396079"},{"enrlmt_id":"I20240418002736","type_code":"14-02","type_desc":"PRACTITIONER - GENERAL SURGERY","state":"SC","pac_id":"0547396079"},{"enrlmt_id":"I20250801002445","type_code":"14-81","type_desc":"PRACTITIONER - CRITICAL CARE (INTENSIVISTS)","state":"AZ","pac_id":"0547396079"}]},"enumeration_date":"2005-08-11","last_updated":"2025-07-17","_meta":{"source":"NPPES","snapshot_date":"2025-07-17","doc_url":"https://findmynpi.com/api"}}