{
"Npi": {
"NPI": "1285901397",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BROOKFIELD FAMILY HEALTH CLINIC",
"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": "624 WEST LOCKLING",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BROOKFIELD",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "64628-2336",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "660-258-3363",
"MailingAddressFaxNumber": "660-258-5409",
"FirstLinePracticeLocationAddress": "624 WEST LOCKLING",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BROOKFIELD",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "64628-2336",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "660-258-3363",
"PracticeLocationAddressFaxNumber": "660-258-5409",
"EnumerationDate": "11/18/2011",
"LastUpdateDate": "11/18/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KNOWLES",
"AuthorizedOfficialFirstName": "BRIAN",
"AuthorizedOfficialMiddleName": "KEVIN",
"AuthorizedOfficialTitle": "PHYSICIAN/OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.O.",
"AuthorizedOfficialTelephoneNumber": "660-258-3363",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QR1300X",
"TaxonomyName": "Rural Health Clinic/Center",
"LicenseNumber": "R9F17",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}