{
"Npi": {
"NPI": "1992189765",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BERNA",
"FirstName": "BRITTANY",
"MiddleName": null,
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "PA-C",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MEREK",
"OtherFirstName": "BRITTANY",
"OtherMiddleName": "DIANE",
"OtherNamePrefix": "MISS",
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "5 BEL AIR SOUTH PKWY STE 101",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BEL AIR",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "21015-6086",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "410-569-2441",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "9000 FRANKLIN SQUARE DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BALTIMORE",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "21237-3901",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "443-777-7000",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/12/2015",
"LastUpdateDate": "06/04/2021",
"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": "363AM0700X",
"TaxonomyName": "Medical Physician Assistant",
"LicenseNumber": "C0005819",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}