{"npi":"1497290282","type":"NPI-1","status":"active","name":{"display":"Jessica Bergstrom PA-C","other":[],"first":"JESSICA","last":"BERGSTROM","middle":"LEIGH","credential":"PA-C"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"PA","license":"MA058785"}]},"addresses":[{"purpose":"LOCATION","street_1":"605 W STATE ST","city":"MEDIA","state":"PA","postal_code":"190632620","country_code":"US","phone":"6105658600","fax":"6108919238"},{"purpose":"MAILING","street_1":"605 W STATE ST","city":"MEDIA","state":"PA","postal_code":"190632620","country_code":"US","phone":"6105658600","fax":"6108919238"}],"license":{"state":"PA","number":"MA058785"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20170302001755","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"PA","pac_id":"5597049973"}]},"enumeration_date":"2017-01-03","last_updated":"2019-09-30","_meta":{"source":"NPPES","snapshot_date":"2019-09-30","doc_url":"https://findmynpi.com/api"}}