{"npi":"1952744641","type":"NPI-2","status":"active","name":{"display":"R Bret Campbell DO & Assoc LLC","other":[],"organization_name":"R BRET CAMPBELL DO & ASSOC LLC","authorised_official":"R Campbell"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"363L00000X","description":"Nurse Practitioner","primary":false,"state":null,"license":null},{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1501 HILAND AVE STE A","city":"BURLEY","state":"ID","postal_code":"833182688","country_code":"US","phone":"2088789432","fax":"2088784576"},{"purpose":"MAILING","street_1":"1404 POMERELLE AVE","city":"BURLEY","state":"ID","postal_code":"833182688","country_code":"US","street_2":"SUITE B","phone":"2088789432","fax":"2088784576"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"1124041116","state":"ID","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20160405000354","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"ID","pac_id":"2860799905"}]},"enumeration_date":"2013-04-11","last_updated":"2016-03-29","_meta":{"source":"NPPES","snapshot_date":"2016-03-29","doc_url":"https://findmynpi.com/api"}}