{
  "npi": "1225906597",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "MD",
    "authorized_official_first_name": "ERIC",
    "authorized_official_last_name": "GIFFORD",
    "authorized_official_telephone_number": "4177713147",
    "authorized_official_title_or_position": "Owner",
    "certification_date": "2025-10-28",
    "enumeration_date": "2025-10-28",
    "last_updated": "2025-10-28",
    "organization_name": "417 SPORTS ADVANCED IMAGING LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "taxonomies": [
    {
      "code": "2085R0202X",
      "desc": "Radiology, Diagnostic Radiology",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193400000X - Single Specialty Group"
    }
  ],
  "enrichment": {
    "plain_english_specialty": "Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist)",
    "certifying_board": "American Board of Radiology (ABR) / FRCR",
    "common_medicare_procedures": [
      "Non-Contrast CT KUB for Urolithiasis & Contrast CT Chest/Abdomen/Pelvis",
      "Brain, Spine & Musculoskeletal Magnetic Resonance Imaging (MRI)",
      "Abdominal, Hepatic, Renal, Pelvic & Vascular Doppler Ultrasound",
      "3D Digital Screening & Diagnostic Mammography (BI-RADS Reporting)"
    ],
    "common_part_d_therapeutic_classes": [
      "Iodinated Low-Osmolar Intravenous CT Contrast Media (Iohexol, Iopamidol)",
      "Gadolinium-Based MRI Contrast Agents",
      "Barium Sulfate & Oral Gastrografin Gastrointestinal Contrast"
    ]
  }
}