{"npi":"1245261064","type":"NPI-1","status":"active","name":{"display":"Brian Jackson Pac","other":[],"first":"BRIAN","last":"JACKSON","middle":"GENE","credential":"PAC"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"CO","license":"843"}]},"addresses":[{"purpose":"LOCATION","street_1":"509 MAIN STREET","city":"LA JARA","state":"CO","postal_code":"81140","country_code":"US","phone":"7193762308","fax":"7193762395"},{"purpose":"MAILING","street_1":"19021 US HIGHWAY 285","city":"LA JARA","state":"CO","postal_code":"811409410","country_code":"US","phone":"7193762308","fax":"7192746065"}],"license":{"state":"CO","number":"843"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"07008436","state":"CO","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110425000598","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"CO","pac_id":"5890970461"}]},"enumeration_date":"2006-07-06","last_updated":"2021-05-06","_meta":{"source":"NPPES","snapshot_date":"2021-05-06","doc_url":"https://findmynpi.com/api"}}