{
  "npi": "1790919140",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "MD",
    "authorized_official_first_name": "BERNARD",
    "authorized_official_last_name": "BENTLEY",
    "authorized_official_middle_name": "WESLEY",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "6462638112",
    "authorized_official_title_or_position": "MD",
    "enumeration_date": "2009-05-13",
    "last_updated": "2016-04-22",
    "organization_name": "BENTLEY MEDICAL PLLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "6 WHALEROCK RD",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "EAST HAMPTON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "119371156",
      "state": "NY",
      "telephone_number": "646-263-8112"
    },
    {
      "address_1": "9920 4TH AVE",
      "address_2": "SUITE 209",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "BROOKLYN",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "646-652-5378",
      "postal_code": "112098333",
      "state": "NY",
      "telephone_number": "646-263-8112"
    }
  ],
  "taxonomies": [
    {
      "code": "2085R0202X",
      "desc": "Radiology, Diagnostic Radiology",
      "license": "192628",
      "primary": true,
      "state": "NY",
      "taxonomy_group": "193400000X - Single Specialty Group"
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": true,
      "status": "EXCLUDED",
      "matches": [
        {
          "name": "BENTLEY MEDICAL, PLLC",
          "npi": "1790919140",
          "specialty": "RADIOLOGY",
          "city": "EAST HAMPTON",
          "state": "NY",
          "excl_type": "1128a1",
          "excl_date": "2020-12-20",
          "statute_desc": "Sec. 1128(a)(1) — Conviction of Program-Related Crimes (Mandatory 5-Yr Min)"
        }
      ],
      "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 Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist)",
    "certifying_board": "American Board of Radiology (ABR) / FRCR",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "30",
        "medicare_type": "Physician/Diagnostic Radiology"
      }
    ]
  }
}