{"npi":"1811207335","type":"NPI-1","status":"active","name":{"display":"Justin Brooks PA","other":[],"first":"JUSTIN","last":"BROOKS","middle":"THOMAS","credential":"PA"},"specialty":{"primary_taxonomy":"363AS0400X","primary_taxonomy_description":"Surgical Physician Assistant","slug":"surgical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"NC","license":"001002584"},{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":true,"state":"NC","license":"0010-02584"}]},"addresses":[{"purpose":"LOCATION","street_1":"14135 BALLANTYNE CORPORATE PL STE 100","city":"CHARLOTTE","state":"NC","postal_code":"282773668","country_code":"US","phone":"7048314300"},{"purpose":"MAILING","street_1":"225 BALDWIN AVE","city":"CHARLOTTE","state":"NC","postal_code":"282043109","country_code":"US","phone":"7043761605","fax":"7043358448"}],"license":{"state":"NC","number":"0010-02584"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110124000997","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NC","pac_id":"5991984841"},{"enrlmt_id":"I20190409001975","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"SC","pac_id":"5991984841"}]},"enumeration_date":"2010-10-18","last_updated":"2024-09-12","_meta":{"source":"NPPES","snapshot_date":"2024-09-12","doc_url":"https://findmynpi.com/api"}}