{
"Npi": {
"NPI": "1952944175",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BARMHERZIG",
"FirstName": "REBECCA",
"MiddleName": "MIRIAM",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "MD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3501 CIVIC CENTRE BLVD",
"SecondLineMailingAddress": "10TH FLR CTRB, NEUROLOGY",
"MailingAddressCityName": "PHILADELPHIA",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19104",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "416-558-9962",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3501 CIVIC CENTRE BLVD",
"SecondLinePracticeLocationAddress": "10TH FLR CTRB, NEUROLOGY",
"PracticeLocationAddressCityName": "PHILADELPHIA",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19104",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "215-590-1719",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/21/2019",
"LastUpdateDate": "01/13/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": "12/08/2020",
"NPIReactivationDate": "01/13/2021",
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "2084N0402X",
"TaxonomyName": "Neurology with Special Qualifications in Child Neurology Physician",
"LicenseNumber": "MD468855",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}