{
  "npi": "1487782322",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "MD",
    "authorized_official_first_name": "BRETT",
    "authorized_official_last_name": "BENNION",
    "authorized_official_telephone_number": "4064882380",
    "authorized_official_title_or_position": "Owner",
    "certification_date": "2020-11-13",
    "enumeration_date": "2007-03-01",
    "last_updated": "2020-11-13",
    "organization_name": "BRETT R BENNION, MD, PC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "214 14TH AVE SW STE 101",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "SIDNEY",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "406-488-2382",
      "postal_code": "592703521",
      "state": "MT",
      "telephone_number": "406-488-2380"
    },
    {
      "address_1": "214 14TH AVE SW STE 101",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "SIDNEY",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "406-488-2382",
      "postal_code": "592703521",
      "state": "MT",
      "telephone_number": "406-488-2380"
    }
  ],
  "taxonomies": [
    {
      "code": "174400000X",
      "desc": "Specialist",
      "license": "8624",
      "primary": true,
      "state": "MT",
      "taxonomy_group": "193400000X - Single 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": []
  }
}