{"npi":"1134623796","type":"NPI-1","status":"active","name":{"display":"Dr. Tyler Brenneman MD","other":[],"first":"TYLER","last":"BRENNEMAN","credential":"MD"},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"2085B0100X","description":"Body Imaging Physician","primary":false,"state":"NC","license":"2023-00724"},{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":"TX","license":"U2444"}]},"addresses":[{"purpose":"LOCATION","street_1":"815 PENNSYLVANIA AVE","city":"FORT WORTH","state":"TX","postal_code":"761042224","country_code":"US","phone":"8173210404"},{"purpose":"MAILING","street_1":"816 W CANNON ST","city":"FORT WORTH","state":"TX","postal_code":"761043194","country_code":"US"}],"license":{"state":"TX","number":"U2444"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230706000746","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"NC","pac_id":"6901132810"},{"enrlmt_id":"I20240628003804","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"TX","pac_id":"6901132810"}]},"enumeration_date":"2018-03-20","last_updated":"2024-06-20","_meta":{"source":"NPPES","snapshot_date":"2024-06-20","doc_url":"https://findmynpi.com/api"}}