{"npi":"1417025941","type":"NPI-1","status":"active","name":{"display":"John Buckley M.D.","other":[],"first":"JOHN","last":"BUCKLEY","middle":"D.","credential":"M.D."},"specialty":{"primary_taxonomy":"207RP1001X","primary_taxonomy_description":"Pulmonary Disease Physician","slug":"pulmonary-disease-physician","schema_org_specialty":null,"all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"IN","license":"01038587A"},{"code":"207RC0200X","description":"Critical Care Medicine (Internal Medicine) Physician","primary":false,"state":"IN","license":"01038587A"},{"code":"207RP1001X","description":"Pulmonary Disease Physician","primary":false,"state":"IN","license":"01038587A"},{"code":"207RP1001X","description":"Pulmonary Disease Physician","primary":true,"state":"MI","license":"4301070640"}]},"addresses":[{"purpose":"LOCATION","street_1":"2799 W GRAND BLVD","city":"DETROIT","state":"MI","postal_code":"482022608","country_code":"US","phone":"3139162733","fax":"3139169102"},{"purpose":"MAILING","street_1":"HENRY FORD HOSPITAL","city":"DETROIT","state":"MI","postal_code":"48202","country_code":"US","street_2":"2799 W GRAND BLVD","phone":"3139162433","fax":"3139169102"}],"license":{"state":"MI","number":"4301070640"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"100119740","state":"IN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20200804002533","type_code":"14-29","type_desc":"PRACTITIONER - PULMONARY DISEASE","state":"MI","pac_id":"8224191317"}]},"enumeration_date":"2006-12-01","last_updated":"2020-08-06","_meta":{"source":"NPPES","snapshot_date":"2020-08-06","doc_url":"https://findmynpi.com/api"}}