{"npi":"1851369664","type":"NPI-1","status":"active","name":{"display":"Dr. Thomas Tully","other":[],"first":"THOMAS","last":"TULLY","middle":"W"},"specialty":{"primary_taxonomy":"207P00000X","primary_taxonomy_description":"Emergency Medicine","slug":"emergency-medicine","schema_org_specialty":"Emergency","all":[{"code":"207P00000X","description":"Emergency Medicine","primary":false,"state":"WA","license":"MD00033876"},{"code":"207P00000X","description":"Emergency Medicine","primary":true,"state":"FL","license":"102657"},{"code":"207P00000X","description":"Emergency Medicine","primary":false,"state":"WI","license":"42410-20"}]},"addresses":[{"purpose":"LOCATION","street_1":"615 N BONITA AVE","city":"PANAMA CITY","state":"FL","postal_code":"324013623","country_code":"US","phone":"8507476000"},{"purpose":"MAILING","street_1":"615 N BONITA AVE","city":"PANAMA CITY","state":"FL","postal_code":"324013623","country_code":"US","phone":"8507476000"}],"license":{"state":"FL","number":"102657"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"8195596","state":"WA","issuer":null},{"type_code":"01","label":"Other","value":"M18541","state":null,"issuer":"REGENCE BLUE SHIELD RIDER"},{"type_code":"01","label":"Other","value":"930103921","state":null,"issuer":"RAILROAD MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20080919000462","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"WI","pac_id":"6709847874"},{"enrlmt_id":"I20150414001693","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"NY","pac_id":"6709847874"}]},"enumeration_date":"2006-03-08","last_updated":"2015-03-26","_meta":{"source":"NPPES","snapshot_date":"2015-03-26","doc_url":"https://findmynpi.com/api"}}