{"npi":"1891763835","type":"NPI-1","status":"active","name":{"display":"Dr. Charlen Fry MD","other":[],"first":"CHARLEN","last":"FRY","credential":"MD"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"KY","license":"38012"}]},"addresses":[{"purpose":"LOCATION","street_1":"200 BRULE ST BLDG 871","city":"FORT KNOX","state":"KY","postal_code":"401216100","country_code":"US","phone":"5026269745"},{"purpose":"MAILING","street_1":"PO BOX 2309","city":"ELIZABETHTOWN","state":"KY","postal_code":"427022309","country_code":"US","phone":"2707061131","fax":"2707061167"}],"license":{"state":"KY","number":"38012"},"identifiers":[{"type_code":"01","label":"Other","value":"P00081750","state":"KY","issuer":"RAILROAD MCR"},{"type_code":"05","label":"Medicaid","value":"64067952","state":"KY","issuer":null},{"type_code":"01","label":"Other","value":"000000300289","state":"KY","issuer":"BC/BS PIN"},{"type_code":"01","label":"Other","value":"2443136000","state":"KY","issuer":"PASSPORT ADVANTAGE"},{"type_code":"01","label":"Other","value":"50001558","state":"KY","issuer":"PASSPORT"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20140618001535","type_code":"33-08","type_desc":"ORDER AND REFERRING ONLY - FAMILY PRACTICE","state":"KY","pac_id":"7416171236"}]},"enumeration_date":"2006-03-08","last_updated":"2023-06-15","_meta":{"source":"NPPES","snapshot_date":"2023-06-15","doc_url":"https://findmynpi.com/api"}}