{"npi":"1477518710","type":"NPI-1","status":"active","name":{"display":"Mr. Patrick Craddock MD","other":[],"first":"PATRICK","last":"CRADDOCK","middle":"A","credential":"MD"},"specialty":{"primary_taxonomy":"207P00000X","primary_taxonomy_description":"Emergency Medicine","slug":"emergency-medicine","schema_org_specialty":"Emergency","all":[{"code":"207P00000X","description":"Emergency Medicine","primary":false,"state":"WY","license":"15623C"},{"code":"207P00000X","description":"Emergency Medicine","primary":false,"state":"TX","license":"M1605"},{"code":"207P00000X","description":"Emergency Medicine","primary":false,"state":"MO","license":"2024034796"},{"code":"207P00000X","description":"Emergency Medicine","primary":true,"state":"NM","license":"MD2013-0163"},{"code":"207PE0004X","description":"Emergency Medical Services (Emergency Medicine) Physician","primary":false,"state":"TX","license":"M1605"}]},"addresses":[{"purpose":"LOCATION","street_1":"1100 CENTRAL AVE SE","city":"ALBUQUERQUE","state":"NM","postal_code":"871064930","country_code":"US","phone":"5058411125","fax":"5058411737"},{"purpose":"MAILING","street_1":"PO BOX 26666","city":"ALBUQUERQUE","state":"NM","postal_code":"871256666","country_code":"US","street_2":"PRESBYTERIAN HEALTHCARE SERVICES","phone":"5059236770"}],"license":{"state":"NM","number":"MD2013-0163"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"177154502","state":"TX","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050726000119","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"TX","pac_id":"1658308218"},{"enrlmt_id":"I20130815000171","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"NM","pac_id":"1658308218"},{"enrlmt_id":"I20210427000752","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"CO","pac_id":"1658308218"},{"enrlmt_id":"I20230526001293","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"WY","pac_id":"1658308218"},{"enrlmt_id":"I20241025001108","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"MO","pac_id":"1658308218"}]},"enumeration_date":"2006-04-19","last_updated":"2024-11-20","_meta":{"source":"NPPES","snapshot_date":"2024-11-20","doc_url":"https://findmynpi.com/api"}}