{"npi":"1609877000","type":"NPI-1","status":"active","name":{"display":"Richard Wilson MD","other":[],"first":"RICHARD","last":"WILSON","middle":"D","credential":"MD"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"TX","license":"G3095"}]},"addresses":[{"purpose":"LOCATION","street_1":"800 E DAWSON ST","city":"TYLER","state":"TX","postal_code":"757012036","country_code":"US","phone":"9035101186","fax":"9035251254"},{"purpose":"MAILING","street_1":"PO BOX 846098","city":"DALLAS","state":"TX","postal_code":"752846098","country_code":"US","phone":"9033246450"}],"license":{"state":"TX","number":"G3095"},"identifiers":[{"type_code":"01","label":"Other","value":"110162071","state":null,"issuer":"MCR RR"},{"type_code":"01","label":"Other","value":"75-2616977-042","state":"TX","issuer":"TRICARE"},{"type_code":"01","label":"Other","value":"00064CV","state":null,"issuer":"BCBS"},{"type_code":"05","label":"Medicaid","value":"079972801","state":"TX","issuer":null},{"type_code":"01","label":"Other","value":"8EJ819","state":"TX","issuer":"BCBS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040609000670","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"TX","pac_id":"7911988332"}]},"enumeration_date":"2005-08-09","last_updated":"2014-06-12","_meta":{"source":"NPPES","snapshot_date":"2014-06-12","doc_url":"https://findmynpi.com/api"}}