{"npi":"1730480971","type":"NPI-1","status":"active","name":{"display":"Bradley Burgess M.A..","other":[],"first":"BRADLEY","last":"BURGESS","middle":"D","credential":"M.A.."},"specialty":{"primary_taxonomy":"101YP2500X","primary_taxonomy_description":"Professional Counselor","slug":"professional-counselor","schema_org_specialty":null,"all":[{"code":"101Y00000X","description":"Counselor","primary":false,"state":"SC","license":"6071"},{"code":"101YA0400X","description":"Addiction Counselor","primary":false,"state":null,"license":null},{"code":"101YM0800X","description":"Mental Health Counselor","primary":false,"state":"SC","license":"6071"},{"code":"101YP2500X","description":"Professional Counselor","primary":true,"state":"SC","license":"6071"}]},"addresses":[{"purpose":"LOCATION","street_1":"737 S MAIN ST","city":"SOCIETY HILL","state":"SC","postal_code":"295938972","country_code":"US","phone":"8433784501","fax":"8433784209"},{"purpose":"MAILING","street_1":"PO BOX 1090","city":"HARTSVILLE","state":"SC","postal_code":"295511090","country_code":"US","phone":"8438570111","fax":"8438570206"}],"license":{"state":"SC","number":"6071"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"PC1532","state":"SC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240227002622","type_code":"14-E2","type_desc":"PRACTITIONER - MENTAL HEALTH COUNSELOR","state":"SC","pac_id":"1951619667"}]},"enumeration_date":"2010-11-04","last_updated":"2017-09-13","_meta":{"source":"NPPES","snapshot_date":"2017-09-13","doc_url":"https://findmynpi.com/api"}}