{
"Npi": {
"NPI": "1861722472",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BROOKWAY LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "11180 PEARL RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "STRONGSVILLE",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44136-3310",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "440-572-9929",
"MailingAddressFaxNumber": "440-572-9928",
"FirstLinePracticeLocationAddress": "11180 PEARL ROAD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "STRONGSVILLE",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "44136-3411",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "440-572-9929",
"PracticeLocationAddressFaxNumber": "440-572-9928",
"EnumerationDate": "01/04/2010",
"LastUpdateDate": "05/22/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PAVLIK",
"AuthorizedOfficialFirstName": "ROBERT",
"AuthorizedOfficialMiddleName": "ALAN",
"AuthorizedOfficialTitle": "MANAGING MEMBER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": "B.A., BC-HIS",
"AuthorizedOfficialTelephoneNumber": "440-572-9929",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332S00000X",
"TaxonomyName": "Hearing Aid Equipment",
"LicenseNumber": "02668",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}