{"npi":"1871542811","type":"NPI-1","status":"active","name":{"display":"Michael Bryant PA-C","other":[],"first":"MICHAEL","last":"BRYANT","middle":"ANTHONY","credential":"PA-C"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":false,"state":"MO","license":"2005019359"},{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":false,"state":"TN","license":"2162"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"IL","license":"085002238"}]},"addresses":[{"purpose":"LOCATION","street_1":"305 W JACKSON ST STE 400","city":"CARBONDALE","state":"IL","postal_code":"629011474","country_code":"US","phone":"6183514972","fax":"6183514973"},{"purpose":"MAILING","street_1":"PO BOX 3988","city":"CARBONDALE","state":"IL","postal_code":"629023988","country_code":"US","phone":"6184575200"}],"license":{"state":"IL","number":"085002238"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20140616000987","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"IL","pac_id":"6204898901"}]},"enumeration_date":"2006-05-08","last_updated":"2023-08-14","_meta":{"source":"NPPES","snapshot_date":"2023-08-14","doc_url":"https://findmynpi.com/api"}}