{"npi":"1699488627","type":"NPI-1","status":"active","name":{"display":"Brennen Criswell","other":[],"first":"BRENNEN","last":"CRISWELL"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"WV","license":"2876"}]},"addresses":[{"purpose":"LOCATION","street_1":"1600 MEDICAL CENTER DRIVE","city":"HUNTINGTON","state":"WV","postal_code":"257013657","country_code":"US","street_2":"SUITE 1500","phone":"3046911100","fax":"3046911153"},{"purpose":"MAILING","street_1":"1448 10TH AVENUE","city":"HUNTINGTON","state":"WV","postal_code":"257013579","country_code":"US","street_2":"SUITE 304","phone":"3046916381","fax":"3046918591"}],"license":{"state":"WV","number":"2876"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20241126002839","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"WV","pac_id":"1355876434"}]},"enumeration_date":"2023-01-04","last_updated":"2024-10-11","_meta":{"source":"NPPES","snapshot_date":"2024-10-11","doc_url":"https://findmynpi.com/api"}}