{"npi":"1396847232","type":"NPI-1","status":"active","name":{"display":"Brent Kallembach PA C","other":[],"first":"BRENT","last":"KALLEMBACH","credential":"PA C"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"WI","license":"1248"}]},"addresses":[{"purpose":"LOCATION","street_1":"1000 N OAK AVE","city":"MARSHFIELD","state":"WI","postal_code":"54449","country_code":"US","phone":"7153875245"},{"purpose":"MAILING","street_1":"1000 N OAK AVE","city":"MARSHFIELD","state":"WI","postal_code":"544495777","country_code":"US"}],"license":{"state":"WI","number":"1248"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"42999800","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20100806000871","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"WI","pac_id":"0244363547"}]},"enumeration_date":"2006-09-01","last_updated":"2007-07-08","_meta":{"source":"NPPES","snapshot_date":"2007-07-08","doc_url":"https://findmynpi.com/api"}}