{"result_count":1,"results":[{"addresses":[{"address_1":"2100 STANTONSBURG RD","address_purpose":"LOCATION","address_type":"DOM","city":"GREENVILLE","country_code":"US","country_name":"United States","postal_code":"278342818","state":"NC","telephone_number":"252-847-4100"},{"address_1":"PO BOX 10760","address_purpose":"MAILING","address_type":"DOM","city":"WESTMINSTER","country_code":"US","country_name":"United States","postal_code":"926850760","state":"CA","telephone_number":"800-396-3437"}],"basic":{"certification_date":"2024-06-18","credential":"PA","enumeration_date":"2006-06-17","first_name":"ROBERT","last_name":"BOSTIC","last_updated":"2024-06-18","middle_name":"DEAN","name_prefix":"Mr.","sex":"M","sole_proprietor":"NO","status":"A"},"created_epoch":"1150518723000","endpoints":[],"enumeration_type":"NPI-1","identifiers":[{"code":"05","desc":"MEDICAID","identifier":"0076PA","issuer":null,"state":"SC"},{"code":"01","desc":"Other (non-Medicare)","identifier":"NN2123A","issuer":"Medicare PTAN","state":"NC"},{"code":"01","desc":"Other (non-Medicare)","identifier":"P02056923","issuer":"RR Medicare","state":"NC"}],"last_updated_epoch":"1718721177000","number":"1093750093","other_names":[],"practiceLocations":[{"address_1":"2095 HENRY TECKLENBURG DRIVE","address_purpose":"LOCATION","address_type":"DOM","city":"CHARLESTON","country_code":"US","country_name":"United States","postal_code":"294145734","state":"SC","telephone_number":"843-402-1000"},{"address_1":"800 N JUSTICE ST","address_purpose":"LOCATION","address_type":"DOM","city":"HENDERSONVILLE","country_code":"US","country_name":"United States","fax_number":"828-696-1314","postal_code":"28791","state":"NC","telephone_number":"828-696-1000"},{"address_1":"14 RICHLAND MEDICAL PARK DR STE 350","address_purpose":"LOCATION","address_type":"DOM","city":"COLUMBIA","country_code":"US","country_name":"United States","fax_number":"803-434-7092","postal_code":"292036896","state":"SC","telephone_number":"803-434-1663"}],"taxonomies":[{"code":"363A00000X","desc":"Physician Assistant","license":"545","primary":false,"state":"SC","taxonomy_group":""},{"code":"363A00000X","desc":"Physician Assistant","license":"PA9110455","primary":false,"state":"FL","taxonomy_group":""},{"code":"363AM0700X","desc":"Physician Assistant, Medical","license":"102627","primary":false,"state":"NC","taxonomy_group":""},{"code":"363AM0700X","desc":"Physician Assistant, Medical","license":"A545","primary":false,"state":"SC","taxonomy_group":""},{"code":"363A00000X","desc":"Physician Assistant","license":"102627","primary":true,"state":"NC","taxonomy_group":""}]}]}