{"npi":"1295729481","type":"NPI-1","status":"active","name":{"display":"Dr. Jeffrey Burnham MD","other":[],"first":"JEFFREY","last":"BURNHAM","middle":"MARK","credential":"MD"},"specialty":{"primary_taxonomy":"207QS0010X","primary_taxonomy_description":"Sports Medicine (Family Medicine) Physician","slug":"sports-medicine-family-medicine-physician","schema_org_specialty":null,"all":[{"code":"207QS0010X","description":"Sports Medicine (Family Medicine) Physician","primary":true,"state":"LA","license":"017109"}]},"addresses":[{"purpose":"LOCATION","street_1":"10310 THE GROVE BLVD STE 100","city":"BATON ROUGE","state":"LA","postal_code":"708366455","country_code":"US","phone":"2257615200","fax":"2257615702"},{"purpose":"MAILING","street_1":"12916 MORGAN MEADOW AVENUE","city":"BATON ROUGE","state":"LA","postal_code":"70818","country_code":"US","phone":"2259389287","fax":"2252371786"}],"license":{"state":"LA","number":"017109"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1357502","state":"LA","issuer":null},{"type_code":"01","label":"Other","value":"080179868","state":"LA","issuer":"RAILROAD MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20101008000349","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"LA","pac_id":"9032029244"}]},"enumeration_date":"2005-09-02","last_updated":"2021-03-30","_meta":{"source":"NPPES","snapshot_date":"2021-03-30","doc_url":"https://findmynpi.com/api"}}