{"npi":"1528063609","type":"NPI-1","status":"active","name":{"display":"Charles Medbery MD","other":[],"first":"CHARLES","last":"MEDBERY","middle":"HENLEY","credential":"MD"},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":"KS","license":"04-28353"},{"code":"2085R0202X","description":"Diagnostic Radiology","primary":false,"state":"MO","license":"107212"}]},"addresses":[{"purpose":"LOCATION","street_1":"401 WOODLAND HILLS BLVD","city":"FORT SCOTT","state":"KS","postal_code":"667018797","country_code":"US","phone":"6202232200"},{"purpose":"MAILING","street_1":"5800 FOXRIDGE DR","city":"MISSION","state":"KS","postal_code":"662022338","country_code":"US","street_2":"STE 240","phone":"9132613153","fax":"9132623295"}],"license":{"state":"KS","number":"04-28353"},"identifiers":[{"type_code":"01","label":"Other","value":"P00173775","state":"KS","issuer":"RR MEDICARE"},{"type_code":"05","label":"Medicaid","value":"100171060C","state":"KS","issuer":null},{"type_code":"05","label":"Medicaid","value":"207821547","state":"MO","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-06-16","last_updated":"2013-08-22","_meta":{"source":"NPPES","snapshot_date":"2013-08-22","doc_url":"https://findmynpi.com/api"}}