OrganizationActive
Magnolia Commons Pediatrics LLC
NPI 1013280486 · Pediatric Adolescent Medicine Physician · Wetumpka, AL
Provider details
- NPI number
- 1013280486
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Bruce, Ceo(334) 567-4311
- License
- 19637 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
78 Cambridge Ct
Wetumpka, AL 36093-1259
Phone: (334) 567-4311
Fax: (334) 567-4312
Approximate (ZIP-level) locationGet directions
Mailing address
78 Cambridge Ct
Wetumpka, AL 36093-1259
Other names (DBA / former)
- Doing business as
- Carlile Pediatrics
Registry dates
- Enumerated
- 2012-02-16
- Last updated
- 2012-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.