{"result_count":1,"results":[{"addresses":[{"address_1":"1255 GRAHAM RD","address_2":"DEPT RADIATION ONCOLOGY","address_purpose":"LOCATION","address_type":"DOM","city":"FLORISSANT","country_code":"US","country_name":"United States","fax_number":"314-820-6752","postal_code":"630318014","state":"MO","telephone_number":"314-820-6751"},{"address_1":"PO BOX 7412011","address_purpose":"MAILING","address_type":"DOM","city":"CHICAGO","country_code":"US","country_name":"United States","fax_number":"314-820-6752","postal_code":"606742011","state":"IL","telephone_number":"314-820-6751"}],"basic":{"credential":"MD","enumeration_date":"2008-07-13","first_name":"CARMEN","last_name":"BERGOM","last_updated":"2025-04-15","middle_name":"RENEE","name_prefix":"Dr.","sex":"F","sole_proprietor":"NO","status":"A"},"created_epoch":"1215966987000","endpoints":[{"address_1":"1255 Graham Rd","address_2":"Dept Radiation Oncology","address_type":"DOM","affiliation":"Y","affiliationName":"Washington University","city":"Florissant","contentTypeDescription":"","country_code":"US","country_name":"United States","endpoint":"https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/","endpointType":"FHIR","endpointTypeDescription":"FHIR URL","postal_code":"630318014","state":"MO","useDescription":""}],"enumeration_type":"NPI-1","identifiers":[{"code":"05","desc":"MEDICAID","identifier":"200089105","issuer":null,"state":"MO"}],"last_updated_epoch":"1744750278000","number":"1932363553","other_names":[],"practiceLocations":[],"taxonomies":[{"code":"2085R0001X","desc":null,"license":"2020031317","primary":true,"state":"MO","taxonomy_group":""}]}]}