{"npi":"1295868024","type":"NPI-2","status":"active","name":{"display":"Sandra D.M. Bruno, M.D., LLC","other":[],"organization_name":"SANDRA D.M. BRUNO, M.D., LLC","authorised_official":"Sandra Bruno"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"LA","license":"020956"}]},"addresses":[{"purpose":"LOCATION","street_1":"217 SAM HOUSTON JONES PKWY","city":"LAKE CHARLES","state":"LA","postal_code":"706115603","country_code":"US","street_2":"SUITE 101","phone":"3372171000"},{"purpose":"MAILING","street_1":"217 SAM HOUSTON JONES PKWY","city":"LAKE CHARLES","state":"LA","postal_code":"706115603","country_code":"US","street_2":"SUITE 101","phone":"3372171000"}],"license":{"state":"LA","number":"020956"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1677027","state":"LA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20101124000527","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"LA","pac_id":"1355537739"}]},"enumeration_date":"2007-03-13","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}