{"npi":"1114536737","type":"NPI-1","status":"active","name":{"display":"Bradley Martin Pmhnp","other":[],"first":"BRADLEY","last":"MARTIN","credential":"PMHNP"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":"ID","license":"76908"}]},"addresses":[{"purpose":"LOCATION","street_1":"358 CHENEY DR W STE 101A","city":"TWIN FALLS","state":"ID","postal_code":"833016484","country_code":"US","phone":"2085152273","fax":"2085152274"},{"purpose":"MAILING","street_1":"358 CHENEY DR W STE 101A","city":"TWIN FALLS","state":"ID","postal_code":"833016484","country_code":"US","phone":"2085152273","fax":"2085152274"}],"license":{"state":"ID","number":"76908"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230823003175","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"ID","pac_id":"0143683136"}]},"enumeration_date":"2020-07-29","last_updated":"2024-05-08","_meta":{"source":"NPPES","snapshot_date":"2024-05-08","doc_url":"https://findmynpi.com/api"}}