{
  "npi": "1801038740",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "D.O.",
    "authorized_official_first_name": "KENT",
    "authorized_official_last_name": "BOWDEN",
    "authorized_official_middle_name": "C",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "5172689914",
    "authorized_official_title_or_position": "Sole MBR",
    "enumeration_date": "2009-03-24",
    "last_updated": "2009-03-24",
    "organization_name": "KENT C. BOWDEN DO PLLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "109 W FLETCHER ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "ALPENA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "989-354-2965",
      "postal_code": "497072301",
      "state": "MI",
      "telephone_number": "989-354-0845"
    },
    {
      "address_1": "1 WILLIAM CARLS DRIVE",
      "address_2": "HURON VALLEY SINAI HOSPITAL",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "COMMERCE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "48382",
      "state": "MI",
      "telephone_number": "248-937-3300"
    }
  ],
  "taxonomies": [
    {
      "code": "208600000X",
      "desc": "Surgery",
      "license": "5101016414",
      "primary": true,
      "state": "MI",
      "taxonomy_group": "193400000X - Single Specialty 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 Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)",
    "certifying_board": "American Board of Orthopaedic Surgery (ABOS)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "02",
        "medicare_type": "Physician/General Surgery"
      }
    ]
  }
}