{"npi":"1225001589","type":"NPI-2","status":"active","name":{"display":"Bruce R Maddern MD PA","other":[],"organization_name":"BRUCE R MADDERN MD PA","authorised_official":"Bruce Maddern"},"specialty":{"primary_taxonomy":"207YP0228X","primary_taxonomy_description":"Pediatric Otolaryngology Physician","slug":"pediatric-otolaryngology-physician","schema_org_specialty":null,"all":[{"code":"207YX0905X","description":"Otolaryngology/Facial Plastic Surgery Physician","primary":false,"state":null,"license":null},{"code":"207YP0228X","description":"Pediatric Otolaryngology Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"10475 CENTURION PKWY N","city":"JACKSONVILLE","state":"FL","postal_code":"322565003","country_code":"US","street_2":"SUITE 302","phone":"9043985437","fax":"9043983077"},{"purpose":"MAILING","street_1":"10475 CENTURION PKWY N","city":"JACKSONVILLE","state":"FL","postal_code":"322565003","country_code":"US","street_2":"SUITE 302","phone":"9043985437","fax":"9043983077"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"8651","state":"FL","issuer":"AV MED"},{"type_code":"01","label":"Other","value":"45553","state":null,"issuer":"BC/BS OF FL"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-02-08","last_updated":"2007-09-07","_meta":{"source":"NPPES","snapshot_date":"2007-09-07","doc_url":"https://findmynpi.com/api"}}