{"npi":"1194726307","type":"NPI-1","status":"active","name":{"display":"Brett Wilson PA","other":[],"first":"BRETT","last":"WILSON","middle":"LEE","credential":"PA"},"specialty":{"primary_taxonomy":"363AS0400X","primary_taxonomy_description":"Surgical Physician Assistant","slug":"surgical-physician-assistant","schema_org_specialty":null,"all":[{"code":"208600000X","description":"Surgery","primary":false,"state":"KS","license":"15-00245"},{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":true,"state":"MO","license":"2009014905"}]},"addresses":[{"purpose":"LOCATION","street_1":"2521 GLENN HENDREN DR STE 204","city":"LIBERTY","state":"MO","postal_code":"640683388","country_code":"US","phone":"8167816066"},{"purpose":"MAILING","street_1":"1733 COUNTY ROAD 200","city":"EMPORIA","state":"KS","postal_code":"668017672","country_code":"US","phone":"6203438044"}],"license":{"state":"MO","number":"2009014905"},"identifiers":[{"type_code":"01","label":"Other","value":"970000628","state":"KS","issuer":"PALMETTO RR MEDICARE"},{"type_code":"05","label":"Medicaid","value":"100002860A","state":"KS","issuer":null},{"type_code":"01","label":"Other","value":"50797021","state":"MO","issuer":"BCBS"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-08-10","last_updated":"2019-06-19","_meta":{"source":"NPPES","snapshot_date":"2019-06-19","doc_url":"https://findmynpi.com/api"}}