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East Bernstadt Medical Clinic Pllc

Rural Health Clinic/Center in Manchester, KY · enumerated 2006 · authorized official Carla Johnson, Billing/Credentialing Clerk.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114986197

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Registry record

Entity type Organization (Type 2)
Legal business name East Bernstadt Medical Clinic Pllc
Other name <Unavail>
Practice address 11901 N Highway 421, 11901 North Hwy 421, Manchester, KY, 40962
Fax (606) 598-0856
Enumeration date Mar 20, 2006
Last updated in NPPES Oct 29, 2025

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Primary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Carla Johnson
Title Billing/Credentialing Clerk

Other identifiers

Identifier Type State Issuer
7100049180 Medicaid KY -
65907750 Medicaid KY -
7100045260 Medicaid KY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-10-29. Verify at npiregistry.cms.hhs.gov.
Where is East Bernstadt Medical Clinic Pllc located?
The practice location on file with NPPES is in Manchester, KY.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-29.