{"npi":"1609825017","type":"NPI-1","status":"active","name":{"display":"Kenneth Brantley MD","other":[],"first":"KENNETH","last":"BRANTLEY","middle":"M","credential":"MD"},"specialty":{"primary_taxonomy":"207RC0200X","primary_taxonomy_description":"Critical Care Medicine (Internal Medicine) Physician","slug":"critical-care-medicine-internal-medicine-physician","schema_org_specialty":null,"all":[{"code":"207RC0200X","description":"Critical Care Medicine (Internal Medicine) Physician","primary":false,"state":"NV","license":"6726"},{"code":"207RP1001X","description":"Pulmonary Disease Physician","primary":false,"state":"NV","license":"6726"},{"code":"207RP1001X","description":"Pulmonary Disease Physician","primary":false,"state":"IN","license":"01071672A"},{"code":"207RC0200X","description":"Critical Care Medicine (Internal Medicine) Physician","primary":true,"state":"IN","license":"01071672A"}]},"addresses":[{"purpose":"LOCATION","street_1":"1801 N SENATE BLVD","city":"INDIANAPOLIS","state":"IN","postal_code":"462021252","country_code":"US","street_2":"STE 230","phone":"3179625820","fax":"3179623916"},{"purpose":"MAILING","street_1":"250 N SHADELAND AVE","city":"INDIANAPOLIS","state":"IN","postal_code":"462194959","country_code":"US","street_2":"STE 130 - PROVIDER ENROLLMENT"}],"license":{"state":"IN","number":"01071672A"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"2019408","state":"NV","issuer":null},{"type_code":"05","label":"Medicaid","value":"201165820","state":"IN","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-05-10","last_updated":"2020-02-07","_meta":{"source":"NPPES","snapshot_date":"2020-02-07","doc_url":"https://findmynpi.com/api"}}