{"npi":"1720710171","type":"NPI-2","status":"active","name":{"display":"Sbb Fit 4 Life LLC","other":[],"organization_name":"SBB FIT 4 LIFE LLC","authorised_official":"Judi Brown Brown"},"specialty":{"primary_taxonomy":"2083P0901X","primary_taxonomy_description":"Public Health & General Preventive Medicine Physician","slug":"public-health-general-preventive-medicine-physician","schema_org_specialty":null,"all":[{"code":"261QH0100X","description":"Health Service Clinic/Center","primary":false,"state":null,"license":null},{"code":"261QP2300X","description":"Primary Care Clinic","primary":false,"state":null,"license":null},{"code":"2083P0901X","description":"Public Health & General Preventive Medicine Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"4709 HARFORD RD","city":"BALTIMORE","state":"MD","postal_code":"212143205","country_code":"US","phone":"4434709142"},{"purpose":"MAILING","street_1":"4709 HARFORD RD","city":"BALTIMORE","state":"MD","postal_code":"212143205","country_code":"US","phone":"4434709142","fax":"4107355702"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"=========","state":"MD","issuer":"DISEASE PREVENTION AND WEIGHT LOSS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20241204000777","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MD","pac_id":"1658807490"}]},"enumeration_date":"2022-06-25","last_updated":"2024-08-07","_meta":{"source":"NPPES","snapshot_date":"2024-08-07","doc_url":"https://findmynpi.com/api"}}