Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ivy Creek of Elmore, LLC

Organization Family Medicine Physician · NPI 1508480633

Ivy Creek of Elmore, LLC is a Family Medicine Physician in Wetumpka, Alabama. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

525 Hospital Dr
Wetumpka, AL 36092-1626
Phone: (334) 567-5626
Fax: (334) 514-3686
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1508480633
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIvy Creek of Elmore, LLC
Authorized official Michael Bruce — Ceo · (334) 567-4311
Other names Ivy Creek Family Care Of Wetumpka
NPI enumeratedJune 4, 2020
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026
Mailing addressPo Box 130, Wetumpka, AL 36092-0003

Other providers in Wetumpka