{"npi":"1124170675","type":"NPI-1","status":"active","name":{"display":"Dr. Brady Dorn Dc","other":[],"first":"BRADY","last":"DORN","middle":"ROBERT","credential":"DC"},"specialty":{"primary_taxonomy":"111N00000X","primary_taxonomy_description":"Chiropractor","slug":"chiropractor","schema_org_specialty":null,"all":[{"code":"111N00000X","description":"Chiropractor","primary":true,"state":"WI","license":"3622012"}]},"addresses":[{"purpose":"LOCATION","street_1":"888 THACKERAY TRL","city":"OCONOMOWOC","state":"WI","postal_code":"530664342","country_code":"US","street_2":"SUITE 210","phone":"2625609600","fax":"2625609599"},{"purpose":"MAILING","street_1":"888 THACKERAY TRL","city":"OCONOMOWOC","state":"WI","postal_code":"530664342","country_code":"US","street_2":"SUITE 210","phone":"2625609600","fax":"2625609599"}],"license":{"state":"WI","number":"3622012"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"38933600","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20051006000283","type_code":"14-35","type_desc":"PRACTITIONER - CHIROPRACTIC","state":"WI","pac_id":"1456386705"}]},"enumeration_date":"2007-01-17","last_updated":"2025-01-09","_meta":{"source":"NPPES","snapshot_date":"2025-01-09","doc_url":"https://findmynpi.com/api"}}