Ivy Creek Prevention Center LLC
NPI 1659755577 · General Practice Physician · Dadeville, AL
Ivy Creek Prevention Center LLC is a General Practice Physician organization in Dadeville, AL (NPI 1659755577).
Provider details
- NPI number
- 1659755577
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Bruce, Ceo(256) 675-0412
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
10 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
Mailing address
Other names (DBA / former)
- Doing business as
- Stillwaters Family Medicine
Registry dates
- Enumerated
- 2015-07-10
- Last updated
- 2016-05-19
Frequently asked questions
- What is Ivy Creek Prevention Center LLC's NPI number?
- Ivy Creek Prevention Center LLC's National Provider Identifier (NPI) is 1659755577, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ivy Creek Prevention Center LLC?
- Ivy Creek Prevention Center LLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Ivy Creek Prevention Center LLC located?
- Ivy Creek Prevention Center LLC's practice location on file with NPPES is 2129 Moonbrook Dr, Dadeville, AL 36853-5640.
- What is Ivy Creek Prevention Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Ivy Creek Prevention Center LLC is (334) 514-3848.
- Who is the authorized official for Ivy Creek Prevention Center LLC?
- The authorized official listed on Ivy Creek Prevention Center LLC'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 Prevention Center LLC's NPI active?
- Yes — Ivy Creek Prevention Center LLC's NPI (1659755577) is active in the NPPES registry as of the last update on 2016-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.