{"npi":"1265431928","type":"NPI-2","status":"active","name":{"display":"Southern Express Medical Supply, INC","other":[],"organization_name":"SOUTHERN EXPRESS MEDICAL SUPPLY, INC","authorised_official":"Michael Bruce"},"specialty":{"primary_taxonomy":"332BP3500X","primary_taxonomy_description":"Parenteral & Enteral Nutrition Supplies (DME)","slug":"parenteral-enteral-nutrition-supplies-dme","schema_org_specialty":null,"all":[{"code":"332BP3500X","description":"Parenteral & Enteral Nutrition Supplies (DME)","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"125 CHURCH ST","city":"GEORGIANA","state":"AL","postal_code":"36033","country_code":"US","street_2":"SUITE B","phone":"3343760003","fax":"3343765777"},{"purpose":"MAILING","street_1":"PO BOX 710","city":"GEORGIANA","state":"AL","postal_code":"36033","country_code":"US","phone":"3343760003","fax":"3343765777"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"51077252","state":"AL","issuer":"BCBS PROVIDER NUMBER"},{"type_code":"01","label":"Other","value":"305157","state":"AL","issuer":"HEALTH INS  CORP OF AL"},{"type_code":"05","label":"Medicaid","value":"000077252","state":"AL","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-07-15","last_updated":"2015-10-12","_meta":{"source":"NPPES","snapshot_date":"2015-10-12","doc_url":"https://findmynpi.com/api"}}