{
"Npi": {
"NPI": "1194931915",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BRIDGES",
"FirstName": "CHRISTIAN",
"MiddleName": "ALEXIS",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "MPAS, PA-C",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "RAMSEYER",
"OtherFirstName": "CHRISTIAN",
"OtherMiddleName": "ALEXIS",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "MPAS, PA-C",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "1515 HOLCOMBE BLVD",
"SecondLineMailingAddress": "UNIT 001",
"MailingAddressCityName": "HOUSTON",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77030-4000",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "713-192-6133",
"MailingAddressFaxNumber": "713-792-4016",
"FirstLinePracticeLocationAddress": "1515 HOLCOMBE BLVD",
"SecondLinePracticeLocationAddress": "UNIT 001",
"PracticeLocationAddressCityName": "HOUSTON",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "77030-4000",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "713-192-6133",
"PracticeLocationAddressFaxNumber": "713-792-4016",
"EnumerationDate": "05/16/2007",
"LastUpdateDate": "06/08/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363A00000X",
"TaxonomyName": "Physician Assistant",
"LicenseNumber": "PA05130",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}