{
"Npi": {
"NPI": "1891847927",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BRIAN J EISERMANN",
"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": "6032 CLARK RD.",
"SecondLineMailingAddress": "SUITE C",
"MailingAddressCityName": "PARADISE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "95969",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "530-877-3808",
"MailingAddressFaxNumber": "530-877-5764",
"FirstLinePracticeLocationAddress": "6032 CLARK RD",
"SecondLinePracticeLocationAddress": "SUITE C",
"PracticeLocationAddressCityName": "PARADISE",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "95969",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "530-877-3808",
"PracticeLocationAddressFaxNumber": "530-877-5764",
"EnumerationDate": "01/17/2007",
"LastUpdateDate": "08/14/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "EISERMANN",
"AuthorizedOfficialFirstName": "BRIAN",
"AuthorizedOfficialMiddleName": "JOHN",
"AuthorizedOfficialTitle": "HEARING AID DISPENSER OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "HA 2971",
"AuthorizedOfficialTelephoneNumber": "530-877-3808",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332S00000X",
"TaxonomyName": "Hearing Aid Equipment",
"LicenseNumber": "HA2971",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}