{"npi":"1205945482","type":"NPI-1","status":"active","name":{"display":"Bryan Matanky M.D.","other":[],"first":"BRYAN","last":"MATANKY","middle":"K.","credential":"M.D."},"specialty":{"primary_taxonomy":"207X00000X","primary_taxonomy_description":"Orthopaedic Surgery","slug":"orthopedic-surgery","schema_org_specialty":"PlasticSurgery","all":[{"code":"207X00000X","description":"Orthopaedic Surgery","primary":true,"state":"AZ","license":"22110"}]},"addresses":[{"purpose":"LOCATION","street_1":"1760 E FLORENCE BLVD","city":"CASA GRANDE","state":"AZ","postal_code":"852224764","country_code":"US","street_2":"SUITE 120","phone":"5204261000","fax":"5204261395"},{"purpose":"MAILING","street_1":"1760 E FLORENCE BLVD","city":"CASA GRANDE","state":"AZ","postal_code":"852224764","country_code":"US","street_2":"SUITE 120","phone":"5204261000","fax":"5204261395"}],"license":{"state":"AZ","number":"22110"},"identifiers":[{"type_code":"01","label":"Other","value":"200018286","state":"AZ","issuer":"RR MEDICARE"},{"type_code":"01","label":"Other","value":"F66298","state":"AZ","issuer":"MERCY HEALTH PLANS"},{"type_code":"01","label":"Other","value":"0046722","state":"AZ","issuer":"DEPT. LABOR"},{"type_code":"01","label":"Other","value":"1Z1375","state":"AZ","issuer":"HEALTHNET"},{"type_code":"01","label":"Other","value":"86-0754243","state":"AZ","issuer":"IRS TAX ID"},{"type_code":"05","label":"Medicaid","value":"15781901","state":"AZ","issuer":null},{"type_code":"01","label":"Other","value":"AZ0351140","state":"AZ","issuer":"BC/BS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20031210000130","type_code":"14-20","type_desc":"PRACTITIONER - ORTHOPEDIC SURGERY","state":"AZ","pac_id":"9436063195"}]},"enumeration_date":"2006-08-30","last_updated":"2022-07-21","_meta":{"source":"NPPES","snapshot_date":"2022-07-21","doc_url":"https://findmynpi.com/api"}}