{"npi":"1629256573","type":"NPI-1","status":"active","name":{"display":"Dr. Cory Bates M.D.","other":[],"first":"CORY","last":"BATES","middle":"SCOTT","credential":"M.D."},"specialty":{"primary_taxonomy":"208800000X","primary_taxonomy_description":"Urology Physician","slug":"urology-physician","schema_org_specialty":null,"all":[{"code":"208800000X","description":"Urology Physician","primary":true,"state":"ID","license":"M11288"}]},"addresses":[{"purpose":"LOCATION","street_1":"775 POLE LINE RD W","city":"TWIN FALLS","state":"ID","postal_code":"833015814","country_code":"US","street_2":"SUITE 301","phone":"2088148700","fax":"2089334914"},{"purpose":"MAILING","street_1":"PO BOX 587","city":"TWIN FALLS","state":"ID","postal_code":"833030587","country_code":"US","phone":"2088147400","fax":"2088147491"}],"license":{"state":"ID","number":"M11288"},"identifiers":[{"type_code":"01","label":"Other","value":"P00983737","state":"ID","issuer":"MCRR"},{"type_code":"05","label":"Medicaid","value":"1629256573","state":"ID","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110812000612","type_code":"14-34","type_desc":"PRACTITIONER - UROLOGY","state":"ID","pac_id":"7214106947"}]},"enumeration_date":"2008-02-02","last_updated":"2014-12-30","_meta":{"source":"NPPES","snapshot_date":"2014-12-30","doc_url":"https://findmynpi.com/api"}}