{"npi":"1508017286","type":"NPI-2","status":"active","name":{"display":"Dubois Regional Medical Center","other":[],"organization_name":"DUBOIS REGIONAL MEDICAL CENTER","authorised_official":"Brian Kline"},"specialty":{"primary_taxonomy":"207W00000X","primary_taxonomy_description":"Ophthalmology Physician","slug":"ophthalmology-physician","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":false,"state":null,"license":null},{"code":"207W00000X","description":"Ophthalmology Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"529 SUNFLOWER DR","city":"DU BOIS","state":"PA","postal_code":"158012378","country_code":"US","phone":"8143712390","fax":"8143719532"},{"purpose":"MAILING","street_1":"100 HOSPITAL AVE","city":"DU BOIS","state":"PA","postal_code":"158011440","country_code":"US","phone":"8143712390","fax":"8143719532"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"100774088","state":"PA","issuer":null},{"type_code":"01","label":"Other","value":"140462","state":null,"issuer":"PTAN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20090107000552","type_code":"12-Z1","type_desc":"PART B SUPPLIER - HOSPITAL DEPARTMENT(S)","state":"PA","pac_id":"5890689715"}]},"enumeration_date":"2008-10-01","last_updated":"2019-07-29","_meta":{"source":"NPPES","snapshot_date":"2019-07-29","doc_url":"https://findmynpi.com/api"}}