{"npi":"1265710305","type":"NPI-1","status":"active","name":{"display":"Dr. Praveen Bere MD","other":[],"first":"PRAVEEN","last":"BERE","credential":"MD"},"specialty":{"primary_taxonomy":"208M00000X","primary_taxonomy_description":"Hospitalist","slug":"hospitalist","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"TX","license":"BP10040139"},{"code":"208M00000X","description":"Hospitalist","primary":false,"state":"NM","license":"MD2014-0084"},{"code":"208M00000X","description":"Hospitalist","primary":true,"state":"ID","license":"5561374"}]},"addresses":[{"purpose":"LOCATION","street_1":"190 E BANNOCK ST","city":"BOISE","state":"ID","postal_code":"837126241","country_code":"US","phone":"2083815015","fax":"2083811873"},{"purpose":"MAILING","street_1":"190 E BANNOCK ST","city":"BOISE","state":"ID","postal_code":"837126241","country_code":"US"}],"license":{"state":"ID","number":"5561374"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20170713003229","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"CA","pac_id":"3274759881"},{"enrlmt_id":"I20241111000288","type_code":"14-C6","type_desc":"PRACTITIONER - HOSPITALIST","state":"ID","pac_id":"3274759881"}]},"enumeration_date":"2011-07-22","last_updated":"2024-11-05","_meta":{"source":"NPPES","snapshot_date":"2024-11-05","doc_url":"https://findmynpi.com/api"}}