1679890420 NPI number — JOSEPH BENNETT WEICHBRODT B.S., B.H.R.S.

NPI Number: 1679890420
Health Care Provider/Practitioner: JOSEPH BENNETT WEICHBRODT B.S., B.H.R.S.

NPI Number : 1679890420 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679890420",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WEICHBRODT",
    "FirstName": "JOSEPH",
    "MiddleName": "BENNETT",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "B.S., B.H.R.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WEICHBRODT",
    "OtherFirstName": "JOBE",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": null,
    "OtherCredential": "B.S., B.H.R.S.",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "132 N WESTCHESTER AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORMAN",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "73069-6639",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "405-818-3986",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "132 N WESTCHESTER AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORMAN",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73069-6639",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "405-818-3986",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/03/2010",
    "LastUpdateDate": "05/03/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101Y00000X",
        "TaxonomyName": "Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}