{
  "npi": "1417478074",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "MS OTR/L",
    "authorized_official_first_name": "ALANA",
    "authorized_official_last_name": "KLOBER",
    "authorized_official_telephone_number": "4794950587",
    "authorized_official_title_or_position": "Owner",
    "enumeration_date": "2017-07-04",
    "last_updated": "2017-07-04",
    "organization_name": "BRAVE PEDIATRIC THERAPY, INC.",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 992",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "DANVILLE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "728330992",
      "state": "AR"
    },
    {
      "address_1": "13798 MACE RD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "DANVILLE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "728336770",
      "state": "AR",
      "telephone_number": "479-495-0587"
    }
  ],
  "taxonomies": [
    {
      "code": "208000000X",
      "desc": "Pediatrics",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty 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": "Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)",
    "certifying_board": "American Board of Pediatrics (ABP)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "37",
        "medicare_type": "Physician/Pediatric Medicine"
      }
    ]
  }
}