{"npi":"1386798189","type":"NPI-1","status":"active","name":{"display":"Dr. Matthew Bruner D.O.","other":[],"first":"MATTHEW","last":"BRUNER","middle":"JUSTIN","credential":"D.O."},"specialty":{"primary_taxonomy":"207L00000X","primary_taxonomy_description":"Anesthesiology","slug":"anesthesiology","schema_org_specialty":"Anesthesia","all":[{"code":"207L00000X","description":"Anesthesiology","primary":false,"state":"KS","license":"05-34533"},{"code":"207L00000X","description":"Anesthesiology","primary":true,"state":"MO","license":"2005025705"}]},"addresses":[{"purpose":"LOCATION","street_1":"1235 E CHEROKEE ST","city":"SPRINGFIELD","state":"MO","postal_code":"658042203","country_code":"US","phone":"4179820168","fax":"4178208852"},{"purpose":"MAILING","street_1":"1235 E CHEROKEE ST","city":"SPRINGFIELD","state":"MO","postal_code":"658042203","country_code":"US","phone":"4179820168","fax":"4178208852"}],"license":{"state":"MO","number":"2005025705"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"200662760A","state":"OK","issuer":null},{"type_code":"01","label":"Other","value":"P01787086","state":"MO","issuer":"RAIL ROAD MEDICARE"},{"type_code":"05","label":"Medicaid","value":"216316003","state":"AR","issuer":null},{"type_code":"05","label":"Medicaid","value":"1386798189","state":"MO","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110818000591","type_code":"14-05","type_desc":"PRACTITIONER - ANESTHESIOLOGY","state":"KS","pac_id":"0547430035"},{"enrlmt_id":"I20150414001161","type_code":"14-05","type_desc":"PRACTITIONER - ANESTHESIOLOGY","state":"MO","pac_id":"0547430035"}]},"enumeration_date":"2007-01-22","last_updated":"2019-06-11","_meta":{"source":"NPPES","snapshot_date":"2019-06-11","doc_url":"https://findmynpi.com/api"}}