{
"Npi": {
"NPI": "1124040852",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MORTER",
"FirstName": "GREGORY",
"MiddleName": "A.",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "M.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MORTER",
"OtherFirstName": "GREGORY",
"OtherMiddleName": "A.",
"OtherNamePrefix": "MR.",
"OtherNameSuffix": null,
"OtherCredential": "M.D.",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "2304 DELANEY RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WILMINGTON",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28403-6013",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "910-763-3349",
"MailingAddressFaxNumber": "910-251-9428",
"FirstLinePracticeLocationAddress": "2304 DELANEY RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WILMINGTON",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "28403-6013",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "910-763-3349",
"PracticeLocationAddressFaxNumber": "910-251-9428",
"EnumerationDate": "07/24/2006",
"LastUpdateDate": "07/08/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "173000000X",
"TaxonomyName": "Legal Medicine",
"LicenseNumber": "36401",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}