{
  "npi": "1376510073",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2020-10-28",
    "credential": "M.D.",
    "enumeration_date": "2006-03-02",
    "first_name": "MICHAEL",
    "last_name": "BOWMAN",
    "last_updated": "2022-01-04",
    "middle_name": "KEITH",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "614 E MAIN ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "RADFORD",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "241411818",
      "state": "VA",
      "telephone_number": "540-633-0776"
    },
    {
      "address_1": "1722 PINE ST",
      "address_2": "SUITE 804",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "MONTGOMERY",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "334-241-9848",
      "postal_code": "361061103",
      "state": "AL",
      "telephone_number": "334-834-7221"
    }
  ],
  "taxonomies": [
    {
      "code": "207Q00000X",
      "desc": "Family Medicine",
      "license": "25791",
      "primary": false,
      "state": "AL",
      "taxonomy_group": ""
    },
    {
      "code": "207Y00000X",
      "desc": "Otolaryngology",
      "license": "0101259607",
      "primary": true,
      "state": "VA",
      "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 & Credentialed Allopathic & Osteopathic Physicians —  Otolaryngology",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "04",
        "medicare_type": "Physician/Otolaryngology"
      }
    ]
  }
}