{"npi":"1922088616","type":"NPI-1","status":"active","name":{"display":"Bradley Orville PA-C","other":[],"first":"BRADLEY","last":"ORVILLE","middle":"W","credential":"PA-C"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"MI","license":"5601002022"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"FL","license":"PA9110580"}]},"addresses":[{"purpose":"LOCATION","street_1":"3340 TAMIAMI TRL","city":"PORT CHARLOTTE","state":"FL","postal_code":"339528088","country_code":"US","phone":"9417645858","fax":"9417641657"},{"purpose":"MAILING","street_1":"2675 WINKLER AVE FL 2","city":"FORT MYERS","state":"FL","postal_code":"339019342","country_code":"US"}],"license":{"state":"FL","number":"PA9110580"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20180104001830","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"FL","pac_id":"7012901192"},{"enrlmt_id":"I20210420002643","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"OH","pac_id":"7012901192"}]},"enumeration_date":"2006-01-19","last_updated":"2025-02-14","_meta":{"source":"NPPES","snapshot_date":"2025-02-14","doc_url":"https://findmynpi.com/api"}}