{
"Npi": {
"NPI": "1053507970",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GREGORY D. BOROWSKI, D.P.M.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 628",
"SecondLineMailingAddress": "6451 FARMDALE ROAD",
"MailingAddressCityName": "BARBOURSVILLE",
"MailingAddressStateName": "WV",
"MailingAddressPostalCode": "25504-0628",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "304-736-0555",
"MailingAddressFaxNumber": "304-736-0556",
"FirstLinePracticeLocationAddress": "6451 FARMDALE RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BARBOURSVILLE",
"PracticeLocationAddressStateName": "WV",
"PracticeLocationAddressPostalCode": "25504-1305",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "304-736-0555",
"PracticeLocationAddressFaxNumber": "304-736-0556",
"EnumerationDate": "09/25/2007",
"LastUpdateDate": "09/20/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BOROWSKI",
"AuthorizedOfficialFirstName": "GREGORY",
"AuthorizedOfficialMiddleName": "D",
"AuthorizedOfficialTitle": "DOCTOR/OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.P.M.",
"AuthorizedOfficialTelephoneNumber": "304-736-0555",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": "00268",
"LicenseNumberStateCode": "WV",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}