Organization Active NPI

East Bernard Primemed Clinic

  • Primary Care Clinic/Center
  • East Bernard, TX
National Provider Identifier
1346033032
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
EAST BERNARD PRIMEMED CLINIC
Practice address
876 S Dill St
East Bernard, TX 77435-8688
Phone
(407) 579-8620
NPI assigned
May 26, 2025
Last updated
May 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2025

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

Authorized official

Name
Ramachandran Palanisamy
Title
Managing Partner
Phone
(407) 579-8620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

876 S Dill St
East Bernard, TX 77435-8688

Mailing address

876 S Dill St
East Bernard, TX 77435-8688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250925000505 TX Part B Supplier - Clinic/Group Practice 8224533765 Receives reassigned benefits from 1 practitioner
Practice locations: East Bernard, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2325347East Bernard Primemed Clinic,LLC876 S Dill St, East Bernard, TX 77435Certificate of waiverJun 10, 2027

National Provider Directory

National Provider Directory

Locations

876 S Dill St
East Bernard, TX 77435
Phone (407) 579-8620

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1748217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748217600000",
    "number": "1346033032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "876 S DILL ST",
            "city": "EAST BERNARD",
            "state": "TX",
            "postal_code": "774358688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "876 S DILL ST",
            "city": "EAST BERNARD",
            "state": "TX",
            "postal_code": "774358688",
            "telephone_number": "407-579-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BERNARD PRIMEMED CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-26",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A",
        "authorized_official_last_name": "PALANISAMY",
        "authorized_official_first_name": "RAMACHANDRAN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "407-579-8620"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Bernard, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.