{"npi":"1205925237","type":"NPI-1","status":"active","name":{"display":"Brandon Mednick MD","other":[],"first":"BRANDON","last":"MEDNICK","middle":"LOUIS","credential":"MD"},"specialty":{"primary_taxonomy":"207P00000X","primary_taxonomy_description":"Emergency Medicine","slug":"emergency-medicine","schema_org_specialty":"Emergency","all":[{"code":"207P00000X","description":"Emergency Medicine","primary":true,"state":"GA","license":"056138"},{"code":"207P00000X","description":"Emergency Medicine","primary":false,"state":"IN","license":"01098122A"},{"code":"207P00000X","description":"Emergency Medicine","primary":false,"state":"SC","license":"96106"}]},"addresses":[{"purpose":"LOCATION","street_1":"18167 US HWY 19 NORTH","city":"CLEARWATER","state":"FL","postal_code":"337649843","country_code":"US","street_2":"SUITE 650","phone":"7275073643","fax":"7275073618"},{"purpose":"MAILING","street_1":"18167 US HIGHWAY 19 N STE 650","city":"CLEARWATER","state":"FL","postal_code":"337646576","country_code":"US","phone":"8005078874","fax":"7275073618"}],"license":{"state":"GA","number":"056138"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"344804973A","state":"GA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050826000106","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"GA","pac_id":"7214965573"},{"enrlmt_id":"I20250106002524","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"IL","pac_id":"7214965573"},{"enrlmt_id":"I20250217001763","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"TN","pac_id":"7214965573"},{"enrlmt_id":"I20250402000583","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"NC","pac_id":"7214965573"},{"enrlmt_id":"I20250903000850","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"ME","pac_id":"7214965573"},{"enrlmt_id":"I20251025000313","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"VA","pac_id":"7214965573"},{"enrlmt_id":"I20260102001342","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"IN","pac_id":"7214965573"},{"enrlmt_id":"I20260121000944","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"SC","pac_id":"7214965573"}]},"enumeration_date":"2006-10-11","last_updated":"2025-12-30","_meta":{"source":"NPPES","snapshot_date":"2025-12-30","doc_url":"https://findmynpi.com/api"}}