{"npi":"1922189372","type":"NPI-1","status":"active","name":{"display":"Dr. Bruce Larsen M.D.","other":[],"first":"BRUCE","last":"LARSEN","middle":"D","credential":"M.D."},"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":"UT","license":"49625291205"}]},"addresses":[{"purpose":"LOCATION","street_1":"2850 N 2000 W","city":"FARR WEST","state":"UT","postal_code":"844049219","country_code":"US","phone":"8013775757"},{"purpose":"MAILING","street_1":"1055 N 500 W","city":"PROVO","state":"UT","postal_code":"84604","country_code":"US","street_2":"ATTN: CREDENTIALING","phone":"8013548225","fax":"8014180941"}],"license":{"state":"UT","number":"49625291205"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"942854058001","state":"UT","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040730000244","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"UT","pac_id":"2769452275"}]},"enumeration_date":"2006-10-18","last_updated":"2019-06-14","_meta":{"source":"NPPES","snapshot_date":"2019-06-14","doc_url":"https://findmynpi.com/api"}}