{"npi":"1114986197","type":"NPI-2","status":"active","name":{"display":"East Bernstadt Medical Clinic PLLC","other":[],"organization_name":"EAST BERNSTADT MEDICAL CLINIC PLLC","authorised_official":"Carla Johnson"},"specialty":{"primary_taxonomy":"261QR1300X","primary_taxonomy_description":"Rural Health Clinic/Center","slug":"rural-health-clinic-center","schema_org_specialty":null,"all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":null,"license":null},{"code":"363AM0700X","description":"Medical Physician Assistant","primary":false,"state":null,"license":null},{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":null,"license":null},{"code":"363L00000X","description":"Nurse Practitioner","primary":false,"state":null,"license":null},{"code":"261QR1300X","description":"Rural Health Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"11901 N HIGHWAY 421","city":"MANCHESTER","state":"KY","postal_code":"409624859","country_code":"US","street_2":"11901 NORTH HWY 421","phone":"6065982706","fax":"6065980856"},{"purpose":"MAILING","street_1":"11901 N HIGHWAY 421","city":"MANCHESTER","state":"KY","postal_code":"409624859","country_code":"US","street_2":"11901 NORTH HWY 421","phone":"6065982706","fax":"6065980856"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"7100049180","state":"KY","issuer":null},{"type_code":"05","label":"Medicaid","value":"65907750","state":"KY","issuer":null},{"type_code":"05","label":"Medicaid","value":"7100045260","state":"KY","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-03-20","last_updated":"2025-10-29","_meta":{"source":"NPPES","snapshot_date":"2025-10-29","doc_url":"https://findmynpi.com/api"}}