East Bernstadt Medical Clinic PLLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

EAST BERNSTADT MEDICAL CLINIC PLLC

Doing business as

Burning Springs Medical Clinic

Practice address

11901 N Highway 421
11901 North Hwy 421
Manchester, KY 40962-4859

Phone

(606) 598-2706

Fax

(606) 598-0856

NPI assigned

Mar 20, 2006

Last updated

Oct 29, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Carla Jean Johnson, CPC

Title

Billing/Credentialing Clerk

Phone

(606) 843-6195

Specialties & licenses 5

Addresses

Other identifiers 3

Other names 1

• Burning Springs Medical Clinic Doing business as

Tax ID family

David J Hays5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• East Bernstadt Medical Clinic

  dba London Corbin Medical Clinic

  • Family Medicine Physician
  • Lily, KY
  • NPI 1831158187
  NPD tax ID
• East Bernstadt Medical Clinic PLLC

  dba East Bernstadt Medical Clinic

  • Rural Health Clinic/Center
  • London, KY
  • NPI 1245299585
  NPD tax ID
• East Bernstadt Medical Clinic PLLC

  dba McKee Medical Clinic

  • Rural Health Clinic/Center
  • McKee, KY
  • NPI 1275592529
  NPD tax ID
• East Bernstadt Medical Clinic PLLC

  dba Annville Medical Clinic

  • Rural Health Clinic/Center
  • Annville, KY
  • NPI 1336109644
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David J Hays, MD

  • Family Medicine Physician
  • London, KY
  • NPI 1215929997
  NPD (past)
• Gloria Margison, ARNP

  • Nurse Practitioner
  • East Bernstadt, KY
  • NPI 1134231285
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1114986197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 N HIGHWAY 421",
            "address_2": "11901 NORTH HWY 421",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409624859",
            "telephone_number": "606-598-2706",
            "fax_number": "606-598-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 N HIGHWAY 421",
            "address_2": "11901 NORTH HWY 421",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409624859",
            "telephone_number": "606-598-2706",
            "fax_number": "606-598-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BERNSTADT MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING CLERK",
        "authorized_official_telephone_number": "606-843-6195",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100045260",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100049180",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65907750",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burning Springs Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paige Taylor Daly, PT
• G. Eldon Depew, PHARM D
• Suvas Ghelabhai Desai, MD
• Cindy Dezarn, MSPT
• Diabetic Health, Inc.
• Edwards Clinic, PSC
• Dana Phillip Edwards, M.D.
• Eva Angel Edwards, APRN,FNP-BC,RFNA,CNO
• Ahmed El Gammal, MD
• Kelly Evans, D.O.

• Rural Health Clinic/Center in Manchester, KY
• Providers in Manchester, KY by specialty
• Rural Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.