{
  "npi": "1972731495",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "M.D.",
    "authorized_official_first_name": "SEAN",
    "authorized_official_last_name": "BURGEST",
    "authorized_official_middle_name": "G.",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "5128684352",
    "authorized_official_title_or_position": "President",
    "enumeration_date": "2009-06-23",
    "last_updated": "2011-01-25",
    "organization_name": "BALCONES HEALTHCARE ASSOCIATES, PA",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 268969",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "OKLAHOMA CITY",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "512-868-4354",
      "postal_code": "731268969",
      "state": "OK",
      "telephone_number": "512-868-4352"
    },
    {
      "address_1": "200 COUNTY ROAD 340A",
      "address_2": "BUILDING 1, SUITE 4",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "BURNET",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "512-868-4354",
      "postal_code": "786114537",
      "state": "TX",
      "telephone_number": "512-868-4352"
    }
  ],
  "taxonomies": [
    {
      "code": "208VP0000X",
      "desc": null,
      "license": "L9637",
      "primary": true,
      "state": "TX",
      "taxonomy_group": "193200000X - Multi-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": "Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Pain Medicine",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "72",
        "medicare_type": "Physician/Pain Management"
      }
    ]
  }
}