{"npi":"1457014342","type":"NPI-2","status":"active","name":{"display":"Greenbrook Medical Practice, PLLC","other":[],"organization_name":"GREENBROOK MEDICAL PRACTICE, PLLC","authorised_official":"Raj Machhar"},"specialty":{"primary_taxonomy":"261QP2300X","primary_taxonomy_description":"Primary Care Clinic","slug":"primary-care-clinic","schema_org_specialty":"PrimaryCare","all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":null,"license":null},{"code":"261QP2300X","description":"Primary Care Clinic","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"11200 E DR MARTIN LUTHER KING JR BLVD STE 107","city":"SEFFNER","state":"FL","postal_code":"335848351","country_code":"US","phone":"8134433399"},{"purpose":"MAILING","street_1":"11200 E DR MARTIN LUTHER KING JR BLVD STE 107","city":"SEFFNER","state":"FL","postal_code":"335848351","country_code":"US","phone":"8134433399"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20211214000591","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"FL","pac_id":"5092105627"}]},"enumeration_date":"2021-10-18","last_updated":"2023-08-09","_meta":{"source":"NPPES","snapshot_date":"2023-08-09","doc_url":"https://findmynpi.com/api"}}