{"npi":"1194922864","type":"NPI-1","status":"active","name":{"display":"Dr. Timothy Bergan D.O.","other":[],"first":"TIMOTHY","last":"BERGAN","credential":"D.O."},"specialty":{"primary_taxonomy":"2083X0100X","primary_taxonomy_description":"Occupational Medicine Physician","slug":"occupational-medicine-physician","schema_org_specialty":null,"all":[{"code":"2083X0100X","description":"Occupational Medicine Physician","primary":true,"state":"WI","license":"67044"}]},"addresses":[{"purpose":"LOCATION","street_1":"855 N WESTHAVEN DR","city":"OSHKOSH","state":"WI","postal_code":"549047668","country_code":"US","phone":"9203038700"},{"purpose":"MAILING","street_1":"855 N WESTHAVEN DR","city":"OSHKOSH","state":"WI","postal_code":"549047668","country_code":"US","phone":"9203038700"}],"license":{"state":"WI","number":"67044"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"100068473","state":"WI","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-06-27","last_updated":"2023-10-24","_meta":{"source":"NPPES","snapshot_date":"2023-10-24","doc_url":"https://findmynpi.com/api"}}