{"npi":"1508921016","type":"NPI-2","status":"active","name":{"display":"Bruce D. Carlson M.D.","other":[],"organization_name":"BRUCE D. CARLSON M.D.","authorised_official":"Tami Foster"},"specialty":{"primary_taxonomy":"261QH0100X","primary_taxonomy_description":"Health Service Clinic/Center","slug":"health-service-clinic-center","schema_org_specialty":null,"all":[{"code":"261QR1300X","description":"Rural Health Clinic/Center","primary":false,"state":null,"license":null},{"code":"261QH0100X","description":"Health Service Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"236 E NEWPORT AVE","city":"HERMISTON","state":"OR","postal_code":"978382449","country_code":"US","phone":"5415671137","fax":"5415672336"},{"purpose":"MAILING","street_1":"236 E NEWPORT AVE","city":"HERMISTON","state":"OR","postal_code":"978382449","country_code":"US","phone":"5415671137","fax":"5415672336"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"223149","state":"OR","issuer":null},{"type_code":"01","label":"Other","value":"OR1807","state":"OR","issuer":"HEALTH NET OF OREGON"},{"type_code":"01","label":"Other","value":"080385000","state":"OR","issuer":"BLUE CROSS BLUE SHIELD"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-12-26","last_updated":"2022-04-19","_meta":{"source":"NPPES","snapshot_date":"2022-04-19","doc_url":"https://findmynpi.com/api"}}