{"npi":"1316946189","type":"NPI-1","status":"active","name":{"display":"Richard Bultman M.D.","other":[],"first":"RICHARD","last":"BULTMAN","middle":"J","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":"FL","license":"ME017622"}]},"addresses":[{"purpose":"LOCATION","street_1":"1594 KINGSLEY AVE","city":"ORANGE PARK","state":"FL","postal_code":"320734546","country_code":"US","phone":"9042648621","fax":"9042159418"},{"purpose":"MAILING","street_1":"1594 KINGSLEY AVE","city":"ORANGE PARK","state":"FL","postal_code":"320734546","country_code":"US","phone":"9042648621","fax":"9042159418"}],"license":{"state":"FL","number":"ME017622"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"000458300","state":"FL","issuer":null},{"type_code":"01","label":"Other","value":"02009","state":"FL","issuer":"BLUE CROSS BLUE SHIELD"},{"type_code":"01","label":"Other","value":"ME017622","state":"FL","issuer":"FL LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20090120000209","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"FL","pac_id":"3577581982"}]},"enumeration_date":"2005-07-14","last_updated":"2022-02-01","_meta":{"source":"NPPES","snapshot_date":"2022-02-01","doc_url":"https://findmynpi.com/api"}}