{
"Npi": {
"NPI": "1609588797",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BRANTLEY",
"FirstName": "NATALIE",
"MiddleName": "CARROLL BEASLEY",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "411 NEW HOPE CHURCH RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TURKEY",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28393-9193",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "910-271-0892",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2601 LAKE DR STE 301",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RALEIGH",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "27607-6689",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "919-782-5911",
"PracticeLocationAddressFaxNumber": "919-861-6400",
"EnumerationDate": "12/20/2022",
"LastUpdateDate": "12/20/2022",
"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": "207VE0102X",
"TaxonomyName": "Reproductive Endocrinology Physician",
"LicenseNumber": "5017374",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}