{"npi":"1609830199","type":"NPI-1","status":"active","name":{"display":"Dr. Mack Bandler M.D.","other":[],"first":"MACK","last":"BANDLER","middle":"K","credential":"M.D."},"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":"OR","license":"MD14862"}]},"addresses":[{"purpose":"LOCATION","street_1":"842 E MAIN ST","city":"MEDFORD","state":"OR","postal_code":"975047134","country_code":"US","phone":"5417732493","fax":"5417793027"},{"purpose":"MAILING","street_1":"842 E MAIN ST","city":"MEDFORD","state":"OR","postal_code":"975047134","country_code":"US","phone":"5417732493","fax":"5417793027"}],"license":{"state":"OR","number":"MD14862"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"184556","state":"OR","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040424000221","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"OR","pac_id":"1355243155"}]},"enumeration_date":"2006-04-13","last_updated":"2014-03-11","_meta":{"source":"NPPES","snapshot_date":"2014-03-11","doc_url":"https://findmynpi.com/api"}}