{"npi":"1194180331","type":"NPI-1","status":"active","name":{"display":"Brent Blackwell","other":[],"first":"BRENT","last":"BLACKWELL"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363AM0700X","description":"Medical Physician Assistant","primary":false,"state":null,"license":null},{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":false,"state":null,"license":null},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"AL","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2700 10TH AVE S","city":"BIRMINGHAM","state":"AL","postal_code":"352051200","country_code":"US","street_2":"STE 200","phone":"2059387838","fax":"2056832468"},{"purpose":"MAILING","street_1":"4333 BENT RIVER PKWY","city":"HOOVER","state":"AL","postal_code":"352165313","country_code":"US","phone":"2054203565"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20160202001069","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"AL","pac_id":"6901100510"}]},"enumeration_date":"2015-12-15","last_updated":"2023-09-27","_meta":{"source":"NPPES","snapshot_date":"2023-09-27","doc_url":"https://findmynpi.com/api"}}