{"npi":"1528063120","type":"NPI-2","status":"active","name":{"display":"Brevard Orthopaedics, PA","other":[],"organization_name":"BREVARD ORTHOPAEDICS, PA","authorised_official":"Amy Good"},"specialty":{"primary_taxonomy":"174400000X","primary_taxonomy_description":"Specialist","slug":"specialist","schema_org_specialty":null,"all":[{"code":"174400000X","description":"Specialist","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"316 CHESTNUT ST","city":"BREVARD","state":"NC","postal_code":"287123010","country_code":"US","street_2":"STE. 2","phone":"8288842055","fax":"8288842834"},{"purpose":"MAILING","street_1":"316 CHESTNUT ST","city":"BREVARD","state":"NC","postal_code":"287123010","country_code":"US","street_2":"STE. 2","phone":"8288842055","fax":"8288842834"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"89016T3","state":"NC","issuer":null},{"type_code":"01","label":"Other","value":"016T3","state":"NC","issuer":"BCBS OF NC GROUP NUMBER"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-06-20","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}