{"npi":"1801819040","type":"NPI-1","status":"active","name":{"display":"Jason Bodner PA-C","other":[],"first":"JASON","last":"BODNER","middle":"KRISTOPHER","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":true,"state":"NC","license":"0010-04142"}]},"addresses":[{"purpose":"LOCATION","street_1":"140 KIMEL PARK DR","city":"WINSTON SALEM","state":"NC","postal_code":"271036160","country_code":"US","phone":"3362452100","fax":"3367687782"},{"purpose":"MAILING","street_1":"PO BOX 60447","city":"CHARLOTTE","state":"NC","postal_code":"282600447","country_code":"US","phone":"3362452100","fax":"3367687782"}],"license":{"state":"NC","number":"0010-04142"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"8103258","state":"NC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20130507000436","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NC","pac_id":"9436188737"}]},"enumeration_date":"2006-07-26","last_updated":"2017-03-06","_meta":{"source":"NPPES","snapshot_date":"2017-03-06","doc_url":"https://findmynpi.com/api"}}