{"npi":"1407856610","type":"NPI-1","status":"active","name":{"display":"Dr. Geoffrey Bacon M.D.","other":[],"first":"GEOFFREY","last":"BACON","credential":"M.D."},"specialty":{"primary_taxonomy":"207Y00000X","primary_taxonomy_description":"Otolaryngology Physician","slug":"otolaryngology-physician","schema_org_specialty":null,"all":[{"code":"207Y00000X","description":"Otolaryngology Physician","primary":true,"state":"VA","license":"0101048019"}]},"addresses":[{"purpose":"LOCATION","street_1":"901 ENTERPRISE PARKWAY","city":"HAMPTON","state":"VA","postal_code":"236662583","country_code":"US","street_2":"SUITE 300","phone":"7578252500","fax":"7578252521"},{"purpose":"MAILING","street_1":"901 ENTERPRISE PKWY","city":"HAMPTON","state":"VA","postal_code":"236666249","country_code":"US","street_2":"SUITE 300","phone":"7578252500","fax":"7578252521"}],"license":{"state":"VA","number":"0101048019"},"identifiers":[{"type_code":"01","label":"Other","value":"235056","state":"VA","issuer":"ANTHEM"},{"type_code":"05","label":"Medicaid","value":"006502415","state":"VA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20100826000413","type_code":"14-04","type_desc":"PRACTITIONER - OTOLARYNGOLOGY","state":"VA","pac_id":"8325949449"}]},"enumeration_date":"2005-07-29","last_updated":"2020-04-09","_meta":{"source":"NPPES","snapshot_date":"2020-04-09","doc_url":"https://findmynpi.com/api"}}