{"npi":"1093767667","type":"NPI-1","status":"active","name":{"display":"Bruce Wilson","other":[],"first":"BRUCE","last":"WILSON"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"NC","license":"0010-03556"}]},"addresses":[{"purpose":"LOCATION","street_1":"320 JEFFERSON ST","city":"WHITEVILLE","state":"NC","postal_code":"284723602","country_code":"US","phone":"9106418600"},{"purpose":"MAILING","street_1":"320 JEFFERSON ST","city":"WHITEVILLE","state":"NC","postal_code":"284723602","country_code":"US"}],"license":{"state":"NC","number":"0010-03556"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20120914000233","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NC","pac_id":"3375646763"},{"enrlmt_id":"I20130219000500","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"SC","pac_id":"3375646763"}]},"enumeration_date":"2006-05-16","last_updated":"2019-02-12","_meta":{"source":"NPPES","snapshot_date":"2019-02-12","doc_url":"https://findmynpi.com/api"}}