{"npi":"1700490232","type":"NPI-2","status":"active","name":{"display":"Wake Forest Baptist Imaging, LLC","other":[],"organization_name":"WAKE FOREST BAPTIST IMAGING, LLC","authorised_official":"Amy Stout"},"specialty":{"primary_taxonomy":"261Q00000X","primary_taxonomy_description":"Clinic/Center","slug":"clinic-center","schema_org_specialty":null,"all":[{"code":"2085R0202X","description":"Diagnostic Radiology","primary":false,"state":null,"license":null},{"code":"261Q00000X","description":"Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"861 OLD WINSTON RD STE 105","city":"KERNERSVILLE","state":"NC","postal_code":"272847141","country_code":"US","phone":"3367655722","fax":"3367655723"},{"purpose":"MAILING","street_1":"800 CRESCENT CENTRE DR STE 400","city":"FRANKLIN","state":"TN","postal_code":"370677270","country_code":"US","phone":"6152612306","fax":"8555883545"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20260226003713","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"WI","pac_id":"3173681681"}]},"enumeration_date":"2020-09-02","last_updated":"2025-12-16","_meta":{"source":"NPPES","snapshot_date":"2025-12-16","doc_url":"https://findmynpi.com/api"}}