{"npi":"1982716486","type":"NPI-1","status":"active","name":{"display":"Bryan Waldo M.D.","other":[],"first":"BRYAN","last":"WALDO","credential":"M.D."},"specialty":{"primary_taxonomy":"207RN0300X","primary_taxonomy_description":"Nephrology Physician","slug":"nephrology-physician","schema_org_specialty":null,"all":[{"code":"207RN0300X","description":"Nephrology Physician","primary":true,"state":"IN","license":"01064566A"}]},"addresses":[{"purpose":"LOCATION","street_1":"2711 LEONARD DR STE 101","city":"VALPARAISO","state":"IN","postal_code":"463837121","country_code":"US","phone":"2194626001","fax":"2194646060"},{"purpose":"MAILING","street_1":"120 W 22ND ST STE 200","city":"OAK BROOK","state":"IL","postal_code":"605231563","country_code":"US","phone":"6305755000"}],"license":{"state":"IN","number":"01064566A"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"200889490","state":"IN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20080313000123","type_code":"14-39","type_desc":"PRACTITIONER - NEPHROLOGY","state":"IN","pac_id":"7719909456"}]},"enumeration_date":"2006-08-31","last_updated":"2025-04-29","_meta":{"source":"NPPES","snapshot_date":"2025-04-29","doc_url":"https://findmynpi.com/api"}}