{
"Npi": {
"NPI": "1184745143",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BURTCH",
"FirstName": "BRIAN",
"MiddleName": "EDWARD",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "M.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "17600 DETROIT AVE APT 610",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAKEWOOD",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44107-3440",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "216-224-1467",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "5105 SOM CENTER RD STE 106",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WILLOUGHBY",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "44094-4203",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "440-266-5000",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/03/2007",
"LastUpdateDate": "02/06/2026",
"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": "207RE0101X",
"TaxonomyName": "Endocrinology, Diabetes & Metabolism Physician",
"LicenseNumber": "35.089302",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}