{
"Npi": {
"NPI": "1366616476",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BRIAN R GROSS,MD,INC.",
"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": "25880 TOURNAMENT RD",
"SecondLineMailingAddress": "SUITE 109",
"MailingAddressCityName": "VALENCIA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91355-2349",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "661-255-6622",
"MailingAddressFaxNumber": "661-255-6628",
"FirstLinePracticeLocationAddress": "25880 TOURNAMENT RD",
"SecondLinePracticeLocationAddress": "SUITE 109",
"PracticeLocationAddressCityName": "VALENCIA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91355-2349",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "661-255-6622",
"PracticeLocationAddressFaxNumber": "661-255-6628",
"EnumerationDate": "04/18/2008",
"LastUpdateDate": "04/18/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GROSS",
"AuthorizedOfficialFirstName": "BRIAN",
"AuthorizedOfficialMiddleName": "RONALD",
"AuthorizedOfficialTitle": "OWNER/MD",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "661-255-6622",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332H00000X",
"TaxonomyName": "Eyewear Supplier",
"LicenseNumber": "156FX1100X",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}