{"npi":"1760072847","type":"NPI-1","status":"active","name":{"display":"Bradley Johnson PA-C","other":[{"code":"5","type":"Also known as","value":"JOHNSON, BRAD"}],"first":"BRADLEY","last":"JOHNSON","credential":"PA-C"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":null,"license":null},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"NM","license":"PA2022-0038"}]},"addresses":[{"purpose":"LOCATION","street_1":"8300 CONSTITUTION AVE NE","city":"ALBUQUERQUE","state":"NM","postal_code":"871107624","country_code":"US","phone":"5052912700"},{"purpose":"MAILING","street_1":"PO BOX 26666","city":"ALBUQUERQUE","state":"NM","postal_code":"871256666","country_code":"US","street_2":"PROVIDER ENROLLMENT","phone":"5059236770","fax":"5059235354"}],"license":{"state":"NM","number":"PA2022-0038"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220527000045","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NM","pac_id":"8123406428"}]},"enumeration_date":"2021-01-22","last_updated":"2022-06-13","_meta":{"source":"NPPES","snapshot_date":"2022-06-13","doc_url":"https://findmynpi.com/api"}}