{"npi":"1396971024","type":"NPI-1","status":"active","name":{"display":"Bryan Heppe CRNA","other":[],"first":"BRYAN","last":"HEPPE","credential":"CRNA"},"specialty":{"primary_taxonomy":"367500000X","primary_taxonomy_description":"Certified Registered Nurse Anesthetist","slug":"certified-registered-nurse-anesthetist","schema_org_specialty":null,"all":[{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":false,"state":"IL","license":"041-322705"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"IL","license":"209007651"}]},"addresses":[{"purpose":"LOCATION","street_1":"8600 N STATE ROUTE 91","city":"PEORIA","state":"IL","postal_code":"616159541","country_code":"US","street_2":"SUITE 250","phone":"3096925394","fax":"3096922272"},{"purpose":"MAILING","street_1":"8600 N STATE ROUTE 91","city":"PEORIA","state":"IL","postal_code":"616159541","country_code":"US","street_2":"SUITE 250","phone":"3096925394","fax":"3096922272"}],"license":{"state":"IL","number":"209007651"},"identifiers":[{"type_code":"01","label":"Other","value":"PENDING","state":"IL","issuer":"MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20090716000279","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"IL","pac_id":"5395897722"}]},"enumeration_date":"2009-06-09","last_updated":"2024-05-31","_meta":{"source":"NPPES","snapshot_date":"2024-05-31","doc_url":"https://findmynpi.com/api"}}