{"npi":"1831217314","type":"NPI-2","status":"active","name":{"display":"Heim Staff Physicians, INC","other":[],"organization_name":"HEIM STAFF PHYSICIANS, INC","authorised_official":"Robert Brackbill"},"specialty":{"primary_taxonomy":"207QG0300X","primary_taxonomy_description":"Family Medicine, Geriatric Medicine","slug":"family-medicine-geriatric","schema_org_specialty":"Geriatric","all":[{"code":"207QG0300X","description":"Family Medicine, Geriatric Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1011 BERK RD","city":"LEESPORT","state":"PA","postal_code":"195338705","country_code":"US","phone":"6103764841"},{"purpose":"MAILING","street_1":"602 WYOMISSING BLVD","city":"WYOMISSING","state":"PA","postal_code":"196102268","country_code":"US","phone":"6106781887"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"0009927090006","state":"PA","issuer":null},{"type_code":"05","label":"Medicaid","value":"0009927090009","state":"PA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040629000434","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"PA","pac_id":"7719963826"}]},"enumeration_date":"2007-03-26","last_updated":"2017-03-14","_meta":{"source":"NPPES","snapshot_date":"2017-03-14","doc_url":"https://findmynpi.com/api"}}