{"npi":"1982903290","type":"NPI-1","status":"active","name":{"display":"Dr. Justin Black D.O.","other":[],"first":"JUSTIN","last":"BLACK","middle":"FREDERICK","credential":"D.O."},"specialty":{"primary_taxonomy":"208100000X","primary_taxonomy_description":"Physical Medicine & Rehabilitation","slug":"physical-medicine-rehabilitation","schema_org_specialty":"Musculoskeletal","all":[{"code":"208100000X","description":"Physical Medicine & Rehabilitation","primary":true,"state":"TX","license":"Q4035"},{"code":"208100000X","description":"Physical Medicine & Rehabilitation","primary":false,"state":"LA","license":"DO.00300"}]},"addresses":[{"purpose":"LOCATION","street_1":"301 MAIN PLZ # 170","city":"NEW BRAUNFELS","state":"TX","postal_code":"781305136","country_code":"US","phone":"8306256700"},{"purpose":"MAILING","street_1":"301 MAIN PLZ # 170","city":"NEW BRAUNFELS","state":"TX","postal_code":"781305136","country_code":"US"}],"license":{"state":"TX","number":"Q4035"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"2149725","state":"LA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20150914002533","type_code":"14-25","type_desc":"PRACTITIONER - PHYSICAL MEDICINE AND REHABILITATION","state":"TX","pac_id":"1557678216"},{"enrlmt_id":"I20190521000188","type_code":"14-25","type_desc":"PRACTITIONER - PHYSICAL MEDICINE AND REHABILITATION","state":"IN","pac_id":"1557678216"}]},"enumeration_date":"2011-03-25","last_updated":"2015-07-10","_meta":{"source":"NPPES","snapshot_date":"2015-07-10","doc_url":"https://findmynpi.com/api"}}