{"npi":"1396979985","type":"NPI-1","status":"active","name":{"display":"Mr. Brad Greisen CRNA","other":[],"first":"BRAD","last":"GREISEN","middle":"HENRY","credential":"CRNA"},"specialty":{"primary_taxonomy":"367500000X","primary_taxonomy_description":"Certified Registered Nurse Anesthetist","slug":"certified-registered-nurse-anesthetist","schema_org_specialty":null,"all":[{"code":"163W00000X","description":"Registered Nurse","primary":false,"state":"NE","license":"62424"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"NE","license":"101087"}]},"addresses":[{"purpose":"LOCATION","street_1":"115 EAST 52ND ST","city":"KEARNEY","state":"NE","postal_code":"68847","country_code":"US","phone":"3082365506","fax":"3082367089"},{"purpose":"MAILING","street_1":"115 E 52ND ST","city":"KEARNEY","state":"NE","postal_code":"688470502","country_code":"US"}],"license":{"state":"NE","number":"101087"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"47068752615","state":"NE","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20090630000292","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"NE","pac_id":"8123179355"}]},"enumeration_date":"2009-05-11","last_updated":"2022-06-07","_meta":{"source":"NPPES","snapshot_date":"2022-06-07","doc_url":"https://findmynpi.com/api"}}