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CLINIC808 LLC
NPI 1194681551
Family Medicine in Lake Charles, LA

Active since December 30, 2025
6105 W MYRTLE BAY DR, LAKE CHARLES, LA 70605(337) 564-0001 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Clinic808 Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINIC808 LLC (NPI 1194681551) is a healthcare organization registered as a family medicine in Lake Charles, Louisiana and active in the NPI registry since December 2025. The organization lists Robert Dale Bernauer, Owner, as its authorized official.

NPPES Registry Identity

NPI1194681551
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCLINIC808 LLC
Location Address6105 W MYRTLE BAY DRLake Charles, LA 70605-3149
Mailing Address6105 W Myrtle Bay DrLake Charles, LA 70605-3149
Phone(337) 564-0001
Organization SubpartNo
Authorized OfficialRobert Dale BernauerOwner · (337) 564-0001
Enumeration DateDecember 30, 2025
NPPES CertifiedDecember 30, 2025
✔ NPI 1194681551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6105 W MYRTLE BAY DR, Lake Charles, LA 70605
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinic808 LLC's NPI number?

The NPI number for Clinic808 LLC is 1194681551. It was assigned to this organization in the NPPES registry on December 30, 2025.

Where is Clinic808 LLC located?

Clinic808 LLC is located at 6105 W Myrtle Bay Dr, Lake Charles, LA 70605. The listed phone number is (337) 564-0001.

What is Clinic808 LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Clinic808 LLC was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.