{"npi":"1477949873","type":"NPI-1","status":"active","name":{"display":"Mark Beveridge M.D.","other":[],"first":"MARK","last":"BEVERIDGE","middle":"STOCKTON","credential":"M.D."},"specialty":{"primary_taxonomy":"208000000X","primary_taxonomy_description":"Pediatrics","slug":"pediatrics","schema_org_specialty":"Pediatric","all":[{"code":"207LH0002X","description":"Hospice and Palliative Medicine (Anesthesiology) Physician","primary":false,"state":"TX","license":"R7172"},{"code":"2080H0002X","description":"Pediatric Hospice and Palliative Medicine Physician","primary":false,"state":"TX","license":"R7172"},{"code":"208000000X","description":"Pediatrics","primary":true,"state":"TX","license":"R7172"}]},"addresses":[{"purpose":"LOCATION","street_1":"220 ATHENS WAY # 240","city":"NASHVILLE","state":"TN","postal_code":"372281311","country_code":"US","phone":"8332087770"},{"purpose":"MAILING","street_1":"220 ATHENS WAY # 240","city":"NASHVILLE","state":"TN","postal_code":"372281311","country_code":"US","phone":"8332087770"}],"license":{"state":"TX","number":"R7172"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"391078803","state":"TX","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2015-04-13","last_updated":"2024-06-21","_meta":{"source":"NPPES","snapshot_date":"2024-06-21","doc_url":"https://findmynpi.com/api"}}