{"npi":"1700899010","type":"NPI-1","status":"active","name":{"display":"Dr. Bobga Fomunung MD","other":[],"first":"BOBGA","last":"FOMUNUNG","middle":"S","credential":"MD"},"specialty":{"primary_taxonomy":"2084P0800X","primary_taxonomy_description":"Psychiatry","slug":"psychiatry","schema_org_specialty":"Psychiatric","all":[{"code":"2084P0800X","description":"Psychiatry","primary":true,"state":"MI","license":"5315017245"}]},"addresses":[{"purpose":"LOCATION","street_1":"1939 DIVISION AVE S","city":"GRAND RAPIDS","state":"MI","postal_code":"495072459","country_code":"US","phone":"6162473815","fax":"6162450450"},{"purpose":"MAILING","street_1":"1281 INNISBROOK CT","city":"HOLLAND","state":"MI","postal_code":"494235502","country_code":"US","phone":"6168347279","fax":"6162450450"}],"license":{"state":"MI","number":"5315017245"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1556483","state":"MI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20041207000420","type_code":"14-26","type_desc":"PRACTITIONER - PSYCHIATRY","state":"MI","pac_id":"1153387667"}]},"enumeration_date":"2006-08-15","last_updated":"2026-01-26","_meta":{"source":"NPPES","snapshot_date":"2026-01-26","doc_url":"https://findmynpi.com/api"}}