Organization
EAST BERNSTADT MEDICAL CLINIC PLLC
Active
Other names
Burning Springs Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLA JEAN JOHNSON CPC (BILLING/CREDENTIALING CLERK)
(606) 843-6195
Entity
Organization
Contact information
Practice address
11901 N HIGHWAY 421, 11901 NORTH HWY 421, MANCHESTER, KY 40962-4859
(606) 598-2706
(606) 598-0856
Mailing address
11901 N HIGHWAY 421, 11901 NORTH HWY 421, MANCHESTER, KY 40962-4859
(606) 598-2706
(606) 598-0856
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65907750
—
KY
05
—
7100045260
—
KY
05
—
7100049180
—
KY
Enumeration date
03/20/2006
Last updated
10/29/2025
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