{"npi":"1548752041","type":"NPI-2","status":"active","name":{"display":"Heritage Neurology PA","other":[],"organization_name":"HERITAGE NEUROLOGY PA","authorised_official":"Olajide Benson"},"specialty":{"primary_taxonomy":"2084A2900X","primary_taxonomy_description":"Neurocritical Care Physician","slug":"neurocritical-care-physician","schema_org_specialty":null,"all":[{"code":"2084A2900X","description":"Neurocritical Care Physician","primary":true,"state":"TX","license":"Q9956"}]},"addresses":[{"purpose":"LOCATION","street_1":"2270 JOE BATTLE BLVD STE Q","city":"EL PASO","state":"TX","postal_code":"799382610","country_code":"US","phone":"9153171500","fax":"9152015101"},{"purpose":"MAILING","street_1":"4849 N MESA ST STE 201","city":"EL PASO","state":"TX","postal_code":"799125919","country_code":"US","phone":"9153516600","fax":"9153516600"}],"license":{"state":"TX","number":"Q9956"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"3883670-01","state":"TX","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20180813001910","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"TX","pac_id":"0143578807"}]},"enumeration_date":"2018-05-31","last_updated":"2019-03-28","_meta":{"source":"NPPES","snapshot_date":"2019-03-28","doc_url":"https://findmynpi.com/api"}}