{"npi":"1619103405","type":"NPI-1","status":"active","name":{"display":"Dr. Christine Bielick Kotkowski M.D.","other":[{"code":"1","type":"Formerly known as","value":"BIELICK, CHRISTINE LYNN"}],"first":"CHRISTINE","last":"BIELICK KOTKOWSKI","middle":"LYNN","credential":"M.D."},"specialty":{"primary_taxonomy":"207RP1001X","primary_taxonomy_description":"Pulmonary Disease Physician","slug":"pulmonary-disease-physician","schema_org_specialty":null,"all":[{"code":"207RC0200X","description":"Critical Care Medicine (Internal Medicine) Physician","primary":false,"state":"MA","license":"250004"},{"code":"207RP1001X","description":"Pulmonary Disease Physician","primary":true,"state":"MA","license":"250004"}]},"addresses":[{"purpose":"LOCATION","street_1":"55 LAKE AVE N","city":"WORCESTER","state":"MA","postal_code":"016550002","country_code":"US","phone":"5083341975"},{"purpose":"MAILING","street_1":"PO BOX 415348","city":"BOSTON","state":"MA","postal_code":"022415348","country_code":"US","phone":"8002258885","fax":"5083341977"}],"license":{"state":"MA","number":"250004"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"110095463A","state":"MA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20130509000068","type_code":"14-29","type_desc":"PRACTITIONER - PULMONARY DISEASE","state":"MA","pac_id":"2466699558"}]},"enumeration_date":"2009-06-08","last_updated":"2024-05-29","_meta":{"source":"NPPES","snapshot_date":"2024-05-29","doc_url":"https://findmynpi.com/api"}}