{
  "npi": "1821645870",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2026-07-23",
    "credential": "PA",
    "enumeration_date": "2019-08-23",
    "first_name": "BENJAMIN",
    "last_name": "ATWOOD",
    "last_updated": "2026-07-23",
    "middle_name": "J",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "3446 S 15TH E",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "IDAHO FALLS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "208-522-0550",
      "postal_code": "834048262",
      "state": "ID",
      "telephone_number": "208-522-6335"
    },
    {
      "address_1": "161 E 1ST S",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "RIGBY",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "208-745-9396",
      "postal_code": "83442",
      "state": "ID",
      "telephone_number": "208-745-8747"
    }
  ],
  "taxonomies": [
    {
      "code": "363AM0700X",
      "desc": "Physician Assistant, Medical",
      "license": "pa1770",
      "primary": true,
      "state": "ID",
      "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 Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "97",
        "medicare_type": "Physician Assistant"
      }
    ]
  }
}