{
  "npi": "1598289274",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2025-12-10",
    "enumeration_date": "2017-08-03",
    "first_name": "LUCAS",
    "last_name": "BRYAN",
    "last_updated": "2025-12-10",
    "middle_name": "ALEXANDER",
    "sex": "M",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "642 E 60 S",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "AMERICAN FORK",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "840032862",
      "state": "UT",
      "telephone_number": "208-529-3096"
    },
    {
      "address_1": "10189 N 4800 W",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "HIGHLAND",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "840038828",
      "state": "UT",
      "telephone_number": "801-610-8810"
    }
  ],
  "taxonomies": [
    {
      "code": "2255A2300X",
      "desc": "Specialist/Technologist, Athletic Trainer",
      "license": null,
      "primary": true,
      "state": null,
      "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 Specialist/Technologist, Athletic Trainer",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}