{
"Npi": {
"NPI": "1609186626",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "VIRGIL BRYANT MANAGEMENT",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "800 W MAIN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEW IBERIA",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "70560-3536",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "337-367-2567",
"MailingAddressFaxNumber": "337-367-2578",
"FirstLinePracticeLocationAddress": "800 W MAIN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NEW IBERIA",
"PracticeLocationAddressStateName": "LA",
"PracticeLocationAddressPostalCode": "70560-3536",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "337-367-2567",
"PracticeLocationAddressFaxNumber": "337-367-2578",
"EnumerationDate": "10/08/2010",
"LastUpdateDate": "10/08/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BRYANT",
"AuthorizedOfficialFirstName": "VIRGIL",
"AuthorizedOfficialMiddleName": "JACKSON",
"AuthorizedOfficialTitle": "OPWNER/DR.",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "337-367-2567",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "155",
"LicenseNumberStateCode": "LA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}