{"npi":"1194026153","type":"NPI-2","status":"active","name":{"display":"Medical University Of Sc","other":[],"organization_name":"MEDICAL UNIVERSITY OF SC","authorised_official":"Brad Neville"},"specialty":{"primary_taxonomy":"1223P0106X","primary_taxonomy_description":"Oral and Maxillofacial Pathology Dentistry","slug":"oral-and-maxillofacial-pathology-dentistry","schema_org_specialty":null,"all":[{"code":"1223P0106X","description":"Oral and Maxillofacial Pathology Dentistry","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"173 ASHLEY AVE","city":"CHARLESTON","state":"SC","postal_code":"294258908","country_code":"US","phone":"8437924495","fax":"8437923697"},{"purpose":"MAILING","street_1":"MSC 507 173 ASHLEY AVENUE","city":"CHARLESTON","state":"SC","postal_code":"294250001","country_code":"US","phone":"8437924495","fax":"8437923697"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"ZX0019","state":"SC","issuer":null},{"type_code":"05","label":"Medicaid","value":"2375","state":"SC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20120316000104","type_code":"12-69","type_desc":"PART B SUPPLIER - INDEPENDENT CLINICAL LABORATORY","state":"SC","pac_id":"2365403698"}]},"enumeration_date":"2010-11-08","last_updated":"2020-03-04","_meta":{"source":"NPPES","snapshot_date":"2020-03-04","doc_url":"https://findmynpi.com/api"}}