{"npi":"1306865084","type":"NPI-1","status":"active","name":{"display":"Dr. Bonnie Smith M.D.","other":[],"first":"BONNIE","last":"SMITH","credential":"M.D."},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"IL","license":"036091686"}]},"addresses":[{"purpose":"LOCATION","street_1":"1701 W GARDEN ST","city":"PEORIA","state":"IL","postal_code":"616053531","country_code":"US","phone":"3096807600","fax":"3096807686"},{"purpose":"MAILING","street_1":"2214 N UNIVERSITY ST","city":"PEORIA","state":"IL","postal_code":"616043221","country_code":"US","phone":"3094958644","fax":"3096818443"}],"license":{"state":"IL","number":"036091686"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"036091686","state":"IL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20031203000482","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"IL","pac_id":"9335044338"}]},"enumeration_date":"2006-07-19","last_updated":"2023-09-15","_meta":{"source":"NPPES","snapshot_date":"2023-09-15","doc_url":"https://findmynpi.com/api"}}