{
  "npi": "1669698775",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "PATTY",
    "authorized_official_last_name": "MCCUBBINS",
    "authorized_official_middle_name": "L",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "6186244471",
    "authorized_official_title_or_position": "Accounts Receivable",
    "enumeration_date": "2007-04-17",
    "last_updated": "2009-04-22",
    "organization_name": "BRAD MCMILLIN, INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1415 WEST HIGHWAY 50",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "O'FALLON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "618-624-4496",
      "postal_code": "62269",
      "state": "IL",
      "telephone_number": "618-624-4471"
    },
    {
      "address_1": "1011 COMMERCE DR",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "FAIRFIELD",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "618-842-4360",
      "postal_code": "628372364",
      "state": "IL",
      "telephone_number": "618-842-4315"
    }
  ],
  "taxonomies": [
    {
      "code": "332S00000X",
      "desc": "Hearing  Aid Equipment",
      "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 Hearing  Aid Equipment",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}