{
  "npi": "1093852931",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "M.D.",
    "authorized_official_first_name": "RAJENDRA",
    "authorized_official_last_name": "BELLAM",
    "authorized_official_middle_name": "P",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "3524473031",
    "authorized_official_title_or_position": "President",
    "enumeration_date": "2007-01-31",
    "last_updated": "2010-11-09",
    "organization_name": "WEST FLORIDA MEDICAL ASSOCIATES P A",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 69",
      "address_2": "41 N. INGLIS AVE",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "INGLIS",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "344490069",
      "state": "FL",
      "telephone_number": "352-447-3031"
    },
    {
      "address_1": "41 N INGLIS AVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "INGLIS",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "344499463",
      "state": "FL",
      "telephone_number": "352-447-3031"
    }
  ],
  "taxonomies": [
    {
      "code": "261QR1300X",
      "desc": "Clinic/Center, Rural Health",
      "license": "ME0060472",
      "primary": true,
      "state": "FL",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center",
    "certifying_board": "Accreditation Association for Ambulatory Health Care (AAAHC) / CMS",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "B4[14]",
        "medicare_type": "Rural Health Clinic"
      }
    ]
  }
}