{"npi":"1437159944","type":"NPI-1","status":"active","name":{"display":"Mark Deibert MD","other":[],"first":"MARK","last":"DEIBERT","middle":"C","credential":"MD"},"specialty":{"primary_taxonomy":"207XX0005X","primary_taxonomy_description":"Orthopaedic Sports Medicine","slug":"orthopedic-sports-medicine","schema_org_specialty":"Musculoskeletal","all":[{"code":"207XX0005X","description":"Orthopaedic Sports Medicine","primary":true,"state":"MT","license":"8221"}]},"addresses":[{"purpose":"LOCATION","street_1":"536 COTTONWOOD RD","city":"BOZEMAN","state":"MT","postal_code":"59718","country_code":"US","street_2":"SUITE 100","phone":"4065868029","fax":"4065868009"},{"purpose":"MAILING","street_1":"536 COTTONWOOD RD","city":"BOZEMAN","state":"MT","postal_code":"59718","country_code":"US","street_2":"SUITE 100","phone":"4065868029","fax":"4065868009"}],"license":{"state":"MT","number":"8221"},"identifiers":[{"type_code":"01","label":"Other","value":"01458-1","state":"MT","issuer":"BCBSMT"},{"type_code":"01","label":"Other","value":"1194070001","state":"MT","issuer":"CIGNA DME"},{"type_code":"05","label":"Medicaid","value":"0000104686","state":"MT","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040908000447","type_code":"14-20","type_desc":"PRACTITIONER - ORTHOPEDIC SURGERY","state":"MT","pac_id":"2466428834"}]},"enumeration_date":"2005-07-26","last_updated":"2011-10-27","_meta":{"source":"NPPES","snapshot_date":"2011-10-27","doc_url":"https://findmynpi.com/api"}}