{
  "npi": "1801216585",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2022-05-09",
    "enumeration_date": "2014-04-22",
    "first_name": "BRIAN",
    "last_name": "AMBROSIUS",
    "last_updated": "2022-05-09",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1659 N SPRING ST",
      "address_2": "SUITE 106",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "BEAVER DAM",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "539161280",
      "state": "WI",
      "telephone_number": "920-219-4394"
    },
    {
      "address_1": "5640 W BROADWAY AVE STE B",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "CRYSTAL",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "554283567",
      "state": "MN",
      "telephone_number": "715-889-1831"
    }
  ],
  "taxonomies": [
    {
      "code": "237700000X",
      "desc": "Hearing Instrument Specialist",
      "license": null,
      "primary": true,
      "state": "WI",
      "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 Instrument Specialist",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}