Ivy Creek Specialty Care
NPI 1396342184 · Emergency Medical Services (Emergency Medicine) Physician · Wetumpka, AL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ivy Creek Specialty Care is a Emergency Medical Services (Emergency Medicine) Physician organization in Wetumpka, AL (NPI 1396342184).
Provider details
- NPI number
- 1396342184
- Entity type
- Organization
- Primary specialty
- Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Bruce, Ceo(334) 567-4311
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Ivy Creek Anesthesia Lake Martin
- Doing business as
- Ivy Creek Er
Additional practice locations (1)
- 201 Mariarden RdDadeville, AL 36853-6244Phone: (256) 825-7821
Registry dates
- Enumerated
- 2020-10-05
- Last updated
- 2020-10-09
- Certified
- 2020-10-09
Frequently asked questions
- What is Ivy Creek Specialty Care's NPI number?
- Ivy Creek Specialty Care's National Provider Identifier (NPI) is 1396342184, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ivy Creek Specialty Care?
- Ivy Creek Specialty Care is classified in the NPPES registry as Emergency Medical Services (Emergency Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Ivy Creek Specialty Care located?
- Ivy Creek Specialty Care's practice location on file with NPPES is 500 Hospital Dr, Wetumpka, AL 36092-1625.
- What is Ivy Creek Specialty Care's phone number?
- The practice phone number listed in the NPPES registry for Ivy Creek Specialty Care is (334) 567-4311.
- Does Ivy Creek Specialty Care accept Medicare?
- Ivy Creek Specialty Care is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ivy Creek Specialty Care?
- The authorized official listed on Ivy Creek Specialty Care's NPPES record is Michael Bruce, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ivy Creek Specialty Care's NPI active?
- Yes — Ivy Creek Specialty Care's NPI (1396342184) is active in the NPPES registry as of the last update on 2020-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.