{"npi":"1427067321","type":"NPI-1","status":"active","name":{"display":"Jeremy Long MD","other":[],"first":"JEREMY","last":"LONG","middle":"A","credential":"MD"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"CO","license":"42989"}]},"addresses":[{"purpose":"LOCATION","street_1":"777 BANNOCK ST","city":"DENVER","state":"CO","postal_code":"802044507","country_code":"US","phone":"3036023499","fax":"3036023497"},{"purpose":"MAILING","street_1":"301 W 6TH AVE","city":"DENVER","state":"CO","postal_code":"802045182","country_code":"US","street_2":"MC 3251"}],"license":{"state":"CO","number":"42989"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"42975042","state":"CO","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050513000563","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"CO","pac_id":"5092756643"}]},"enumeration_date":"2006-08-07","last_updated":"2024-06-20","_meta":{"source":"NPPES","snapshot_date":"2024-06-20","doc_url":"https://findmynpi.com/api"}}