{"npi":"1629530084","type":"NPI-1","status":"active","name":{"display":"Benjamin Booker DO","other":[],"first":"BENJAMIN","last":"BOOKER","middle":"WADE","credential":"DO"},"specialty":{"primary_taxonomy":"204D00000X","primary_taxonomy_description":"Neuromusculoskeletal Medicine & OMM Physician","slug":"neuromusculoskeletal-medicine-omm-physician","schema_org_specialty":null,"all":[{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":"OH","license":"34.015672"},{"code":"204D00000X","description":"Neuromusculoskeletal Medicine & OMM Physician","primary":true,"state":"OH","license":"34.015672"}]},"addresses":[{"purpose":"LOCATION","street_1":"191 W UNION ST STE 127","city":"ATHENS","state":"OH","postal_code":"457012732","country_code":"US","phone":"7405927010","fax":"7405927011"},{"purpose":"MAILING","street_1":"191 W UNION ST STE 127","city":"ATHENS","state":"OH","postal_code":"457012732","country_code":"US","phone":"7405927010","fax":"7405927011"}],"license":{"state":"OH","number":"34.015672"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0482659","state":"OH","issuer":null},{"type_code":"05","label":"Medicaid","value":"0481791","state":"NC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220421000154","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"OH","pac_id":"7618204447"}]},"enumeration_date":"2019-04-04","last_updated":"2024-04-03","_meta":{"source":"NPPES","snapshot_date":"2024-04-03","doc_url":"https://findmynpi.com/api"}}