{
  "npi": "1700868452",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "D.O.",
    "enumeration_date": "2005-11-17",
    "first_name": "RUSSELL",
    "last_name": "BELENCHIA",
    "last_updated": "2013-11-07",
    "middle_name": "E.",
    "name_prefix": "Dr.",
    "name_suffix": "--",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "24345 HIGHWAY 15",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "UNION",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "601-774-8589",
      "postal_code": "393658575",
      "state": "MS",
      "telephone_number": "601-774-8211"
    },
    {
      "address_1": "PO BOX 2106",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "MERIDIAN",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "601-703-4597",
      "postal_code": "393022106",
      "state": "MS",
      "telephone_number": "601-703-4282"
    }
  ],
  "taxonomies": [
    {
      "code": "207Q00000X",
      "desc": "Family Medicine",
      "license": "10063",
      "primary": false,
      "state": "MS",
      "taxonomy_group": ""
    },
    {
      "code": "207QG0300X",
      "desc": "Family Medicine, Geriatric Medicine",
      "license": "10063",
      "primary": true,
      "state": "MS",
      "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 Family Medicine Physician (All-Ages Primary Care Doctor)",
    "certifying_board": "American Board of Family Medicine (ABFM)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "08",
        "medicare_type": "Physician/Family Practice"
      },
      {
        "medicare_code": "27",
        "medicare_type": "Physician/Geriatric Psychiatry"
      },
      {
        "medicare_code": "38",
        "medicare_type": "Physician/Geriatric Medicine"
      }
    ]
  }
}