{"npi":"1225041353","type":"NPI-1","status":"active","name":{"display":"Dr. Bal Gupta MD","other":[],"first":"BAL","last":"GUPTA","middle":"KRISHAN","credential":"MD"},"specialty":{"primary_taxonomy":"2084P0800X","primary_taxonomy_description":"Psychiatry","slug":"psychiatry","schema_org_specialty":"Psychiatric","all":[{"code":"2084F0202X","description":"Forensic Psychiatry Physician","primary":false,"state":"MI","license":"4301037633"},{"code":"2084P0800X","description":"Psychiatry","primary":true,"state":"MI","license":"4301037633"}]},"addresses":[{"purpose":"LOCATION","street_1":"11900 E TWELVE MILE RD","city":"WARREN","state":"MI","postal_code":"480933472","country_code":"US","street_2":"SUITE 111","phone":"5865735300","fax":"5865735304"},{"purpose":"MAILING","street_1":"11900 E TWELVE MILE RD","city":"WARREN","state":"MI","postal_code":"480933472","country_code":"US","street_2":"SUITE 111","phone":"5865735300","fax":"5865735304"}],"license":{"state":"MI","number":"4301037633"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1368788","state":"MI","issuer":null},{"type_code":"01","label":"Other","value":"260E011140","state":null,"issuer":"BCBS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110325000862","type_code":"14-26","type_desc":"PRACTITIONER - PSYCHIATRY","state":"MI","pac_id":"1557315546"}]},"enumeration_date":"2006-08-13","last_updated":"2014-04-22","_meta":{"source":"NPPES","snapshot_date":"2014-04-22","doc_url":"https://findmynpi.com/api"}}