{"npi":"1104364256","type":"NPI-1","status":"active","name":{"display":"Reece Bergstrom DO","other":[],"first":"REECE","last":"BERGSTROM","middle":"E.","credential":"DO"},"specialty":{"primary_taxonomy":"207WX0107X","primary_taxonomy_description":"Retina Specialist (Ophthalmology) Physician","slug":"retina-specialist-ophthalmology-physician","schema_org_specialty":null,"all":[{"code":"207W00000X","description":"Ophthalmology Physician","primary":false,"state":"OH","license":"34.015071"},{"code":"207WX0107X","description":"Retina Specialist (Ophthalmology) Physician","primary":true,"state":"OH","license":"34.015071"}]},"addresses":[{"purpose":"LOCATION","street_1":"915 OLENTANGY RIVER RD","city":"COLUMBUS","state":"OH","postal_code":"432123153","country_code":"US","phone":"6142938116","fax":"6142935315"},{"purpose":"MAILING","street_1":"700 ACKERMAN RD STE 2120","city":"COLUMBUS","state":"OH","postal_code":"432021559","country_code":"US","phone":"6142938116","fax":"6142935315"}],"license":{"state":"OH","number":"34.015071"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210924002464","type_code":"14-18","type_desc":"PRACTITIONER - OPHTHALMOLOGY","state":"OH","pac_id":"0547536179"}]},"enumeration_date":"2017-02-09","last_updated":"2022-06-30","_meta":{"source":"NPPES","snapshot_date":"2022-06-30","doc_url":"https://findmynpi.com/api"}}