{
"Npi": {
"NPI": "1932133238",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BERNARD",
"FirstName": "JEANNE",
"MiddleName": "DUSTIN",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "D.O.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "BERNARD",
"OtherFirstName": "J.",
"OtherMiddleName": "DUSTIN",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "D.O.",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "PO BOX 12338",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAN LUIS OBISPO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "93406-2338",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "805-546-9911",
"MailingAddressFaxNumber": "805-546-9933",
"FirstLinePracticeLocationAddress": "2074 PARKER ST",
"SecondLinePracticeLocationAddress": "SUITE 120",
"PracticeLocationAddressCityName": "SAN LUIS OBISPO",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "93401-5052",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "805-546-9911",
"PracticeLocationAddressFaxNumber": "805-546-9933",
"EnumerationDate": "07/10/2006",
"LastUpdateDate": "11/25/2014",
"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": "207RE0101X",
"TaxonomyName": "Endocrinology, Diabetes & Metabolism Physician",
"LicenseNumber": "20A7046",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}