{
  "npi": "1639151053",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2026-08-31",
    "credential": "M.D.",
    "enumeration_date": "2005-11-20",
    "first_name": "JOSHUA",
    "last_name": "BRAVEMAN",
    "last_updated": "2026-08-31",
    "middle_name": "M",
    "name_prefix": "Dr.",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "3245 HEALTH DR STE 100",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "GRANGER",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "465301380",
      "state": "IN",
      "telephone_number": "574-647-3725"
    },
    {
      "address_1": "621 MEMORIAL DR STE 502",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "SOUTH BEND",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "574-647-5878",
      "postal_code": "466011075",
      "state": "IN",
      "telephone_number": "574-647-5875"
    }
  ],
  "taxonomies": [
    {
      "code": "208C00000X",
      "desc": "Colon & Rectal Surgery",
      "license": "01100172A",
      "primary": true,
      "state": "IN",
      "taxonomy_group": ""
    },
    {
      "code": "208C00000X",
      "desc": "Colon & Rectal Surgery",
      "license": "35083205",
      "primary": false,
      "state": "OH",
      "taxonomy_group": ""
    },
    {
      "code": "208C00000X",
      "desc": "Colon & Rectal Surgery",
      "license": "C209109",
      "primary": false,
      "state": "CA",
      "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": "Board-Certified Colorectal Surgeon (Hemorrhoids, Fistula & Colon Specialist)",
    "certifying_board": "American Board of Colon and Rectal Surgery (ABCRS)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "02",
        "medicare_type": "Physician/General Surgery"
      },
      {
        "medicare_code": "28",
        "medicare_type": "Physician/Colorectal Surgery (Proctology)"
      }
    ]
  }
}